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Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   SEPTEMBER 2014 , Volume 17 , Number 9; Page(s) 640 To 641.
 
Paper: 

EN-BLOC LIVER–PANCREAS TRANSPLANT IN IRAN (CASE REPORT)

 
 
Author(s):  NIKEGHBALIAN SAMAN, MEHDI SEYED HAIDER, ALIAKBARIAN MOHSEN*, KAZEMI KOUROSH, SHAMSAEEFAR ALIREZA, BAHREINI AMIN, GHOLAMI SIAVASH, MALEKHOSSEINI SEYED ALI
 
* SHIRAZ TRANSPLANT RESEARCH CENTER, SHIRAZ UNIVERSITY OF MEDICAL SCIENCES, SHIRAZ, IRAN
 
Abstract: 

Liver transplant can be challenging in cirrhotic patients with diabetes mellitus. In chronic liver disease, the glucose metabolism is altered; uncontrolled diabetes negatively influences the outcome of liver transplantation and poses difficulty in the management of immediate post transplantation period. Simultaneous liver-pancreas transplantation is an option to prevent early complications due to diabetes and also to improve the quality of life after transplantation in patients with Insulin-Dependent Diabetes Mellitus (IDDM) and chronic liver disease. We report the first en-bloc liver-pancreas transplant done in the transplant history of Iran. We describe the technical details of the procedure as well as the short term outcome after transplantation. In this case report, we also discuss in some details, the surgical, medical and immunological advantages of combined liver–pancreas transplantation as opposed to separate implantation of both organs.

 
Keyword(s): CIRRHOSIS, DIABETES MELLITUS, EN, BLOC, LIVER, PANCREAS, TRANSPLANTATION
 
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