Abstract
This chapter will describe the Stockholm experience with 103 pancreatic transplantations in diabetic patients. When the program was initiated in 1974, it was decided to use segmental pancreatic grafts and since then this type of graft has been used in all but four instances where whole organ grafts were used. Originally, the reason for using the segmental graft was that it did away with the duodenum, an organ which was then believed to be dangerous to transplant. More recently, the chief reason for using such a graft is that it makes possible the harvesting of the liver as well as the pancreas from a cadaveric donor without creating a conflict over the arterial trunks that lead to both organs. Also from the beginning, we chose to drain the exocrine secretion of the graft to the patients bowel. One reason for this was that it is physiological. Furthermore, a considerable experience with pancreatico-enteric anastomosis was available from general surgery where such techniques are used routinely after pancreatic resections. In a few exceptional Stockholm cases, pancreatic duct ligature or exocrine diversion to the patients stomach was used instead.
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References
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© 1989 Kluwer Academic Publishers
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Groth, C.G., Tydén, G., Östman, J. (1989). Experience of the Huddinge Hospital, Karolinska Institute, Stockholm, Sweden. In: Dubernard, J.M., Sutherland, D.E.R. (eds) International Handbook of Pancreas Transplantation. Developments in Surgery, vol 10. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-1083-6_34
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DOI: https://doi.org/10.1007/978-94-009-1083-6_34
Publisher Name: Springer, Dordrecht
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