Contemporary Pancreas Transplantation

James W. Lim, MD, FACS Program Director and Chief, Transplant Surgery and Organ Transplantation, Hackensack University Medical Center, Hackensack, NJ, USA

History  of Pancreas transplant.- Epidemiology of DM (incidence, demographics).- Economics of DM (financial impact).- Recipient Evaluation (selection and work up of potential patient for Pancreas transplant).- Operation (various methods such as Portal vs Systemic and Enteral vs Bladder for the endocrine and exocrine function respectively).- Surgical complications (different surgical complications and methods of diagnosis and treat options).- Immunosuppression (review of different protocols based on most recent SRTR data).- Surveillance and postoperative monitoring (follow up of recipient post transplant beginning from immediately after the operation to long-term follow up).- Infections and other nonsurgical complications (review of more common infections and nonsurgical complications associated with Pancreas transplant).- Islet cell transplant (most recent review of islet cell transplant).- Autologous islet cell transplant (review of patients with chronic pancreatitis requiring this type of Pancreas transplant).- Living related transplant and multivisceral transplant (review of sparse data on patients who obtain a Pancreas transplant via a live donor or as part of a multivisceral transplant).- Regulatory issues (review the CMS and UNOS guidelines that dictate all Pancreas transplant programs in the country, including start up and maintenance to keep program in good standing with CMS and UNOS).