Pancreas Transplantation

  • Luis H. Toledo-Pereyra

Table of contents

  1. Front Matter
    Pages i-xiii
  2. Luis H. Toledo-Pereyra
    Pages 1-39
  3. Frederick C. Goetz
    Pages 41-45
  4. Luis H. Toledo-Pereyra
    Pages 47-59
  5. Willard S. Holt, Luis H. Toledo-Pereyra
    Pages 61-72
  6. Vijay K. Mittal, Luis H. Toledo-Pereyra
    Pages 73-98
  7. Luis H. Toledo-Pereyra
    Pages 99-108
  8. Luis H. Toledo-Pereyra
    Pages 109-122
  9. I. G. M. Brons, Roy Y. Calne
    Pages 123-129
  10. Luis H. Toledo-Pereyra, Vijay K. Mittal
    Pages 167-188
  11. Paul McMaster
    Pages 189-202
  12. Luis H. Toledo-Pereyra
    Pages 203-226
  13. Theodore A. Reyman
    Pages 227-249
  14. Rino Munda
    Pages 251-260
  15. Dai D. Nghiem, Robert J. Corry
    Pages 261-269
  16. Luis H. Toledo-Pereyra
    Pages 271-290
  17. Luis H. Toledo-Pereyra
    Pages 291-293
  18. Back Matter
    Pages 295-298

About this book

Introduction

In December, 1966, two patients dying of months after the transplants had been per­ uremia as a result of diabetic kidney disease formed. This was long enough, however, to were offered a small chance of survival. Ac­ establish unequivocally in both patients cording to the thinking of the time, it was that an endocrine organ, the pancreas, could inappropriate-and perhaps even unethical­ function normally and for many days as a to offer them either chronic hemodialysis or human-to-human graft. The patients had kidney transplantation. These were considered become normoglycemic independent of insulin a waste of effort because it was believed that injections. scarce medical resources should not be spent The possible long-term benefits of restoring on patients, uremic or not, whose chances of insulin function were hotly argued then, and surviving for more than a few months were they have not been fully determined 20 years thought to be very small. Reduced to its later. It seems to me now, however, that the essence, the idea was that diabetic patients basic premise is sounder than I realized in were terrible risks and would remain so even if 1966: if one could restore an effective, norm­ the uremia were corrected.

Keywords

Immunosuppression anesthesia organ transplantation

Editors and affiliations

  • Luis H. Toledo-Pereyra
    • 1
  1. 1.Department of SurgeryMount Carmel Mercy HospitalDetroitUSA

Bibliographic information

  • DOI https://doi.org/10.1007/978-1-4613-1735-7
  • Copyright Information Springer-Verlag US 1988
  • Publisher Name Springer, Boston, MA
  • eBook Packages Springer Book Archive
  • Print ISBN 978-1-4612-8976-0
  • Online ISBN 978-1-4613-1735-7
  • About this book