Clinical segmental pancreatic transplantation with ureter-pancreatic duct anastomosis for exocrine drainage

Marvin L. Gliedman, Michael Gold, John Whittaker, Harold Rifkin, Robert Soberman, Selwyn Freed, Vivian Tellis, Frank J. Veith

Research output: Contribution to journalArticle

73 Citations (Scopus)

Abstract

Five segmental pancreatic transplants with pancreatic duct-ureter anastomoses are reported. The technique for segmental pancreatic transplantation with pancreatic duct-ureter anastomosis in man is described. The synchronous transplanation of the kidney and a segmental pancreatic graft is contrasted with the staged transplantation of the pancreatic segment and subsequent renal allografting. The pancreatic duct-ureter anastomosis is a relatively simple effective technique which provides exocrine drainage for a pancreatic segment. Of the five patients with juvenile-onset diabetes who received pancreatic transplants by this technique, four are alive. Two have functioning pancreatic grafts; the survivor of 15 months has impaired pancreatic function but appears to be improving. The other surviving patient has a functioning pancreatic graft eight months after pancreatic transplantation. These latter two patients also have functioning renal transplants. The asynchronous transplantation of a pancreatic segment and kidney appears superior at this time.

Original languageEnglish (US)
Pages (from-to)171-180
Number of pages10
JournalSurgery
Volume74
Issue number2
StatePublished - 1973

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Pancreatic Ducts
Ureter
Drainage
Transplantation
Transplants
Kidney
Homologous Transplantation
Type 1 Diabetes Mellitus
Survivors

ASJC Scopus subject areas

  • Surgery

Cite this

Gliedman, M. L., Gold, M., Whittaker, J., Rifkin, H., Soberman, R., Freed, S., ... Veith, F. J. (1973). Clinical segmental pancreatic transplantation with ureter-pancreatic duct anastomosis for exocrine drainage. Surgery, 74(2), 171-180.

Clinical segmental pancreatic transplantation with ureter-pancreatic duct anastomosis for exocrine drainage. / Gliedman, Marvin L.; Gold, Michael; Whittaker, John; Rifkin, Harold; Soberman, Robert; Freed, Selwyn; Tellis, Vivian; Veith, Frank J.

In: Surgery, Vol. 74, No. 2, 1973, p. 171-180.

Research output: Contribution to journalArticle

Gliedman, ML, Gold, M, Whittaker, J, Rifkin, H, Soberman, R, Freed, S, Tellis, V & Veith, FJ 1973, 'Clinical segmental pancreatic transplantation with ureter-pancreatic duct anastomosis for exocrine drainage', Surgery, vol. 74, no. 2, pp. 171-180.
Gliedman ML, Gold M, Whittaker J, Rifkin H, Soberman R, Freed S et al. Clinical segmental pancreatic transplantation with ureter-pancreatic duct anastomosis for exocrine drainage. Surgery. 1973;74(2):171-180.
Gliedman, Marvin L. ; Gold, Michael ; Whittaker, John ; Rifkin, Harold ; Soberman, Robert ; Freed, Selwyn ; Tellis, Vivian ; Veith, Frank J. / Clinical segmental pancreatic transplantation with ureter-pancreatic duct anastomosis for exocrine drainage. In: Surgery. 1973 ; Vol. 74, No. 2. pp. 171-180.
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