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Abstract

The practice of human pancreas transplantation presumes that the microvascular complications seen in Type I diabetes mellitus are caused by disordered carbohydrate metabolism, and that perfect metabolic control can stop the progression of these microvascular changes.1 To date systems of delivering exogenous insulin have not proven effective in controlling carbohydrate metabolism or in preventing microvascular disease. Although the insulin pump can deliver insulin at a constant rate, without a glucose sensor the rate of infusion cannot change in response to ever-fluctuating rates of glucose use.

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References

  1. Sutherland DER, Goetz FC, Ramsay RC, Fryd DS, Najarian JS: Clinical and experimental kidney and pancreas transplantation for diabetics. In Little HL, Jack RL, Patz A, Forsham PH (eds): Diabetic Retinopathy, New York, Thieme Stratton, 1983, p 199.

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  2. Kelly WD, Lillehei RC, Merkel FK, Idezuki Y, Goetz FC: Allotransplantation of the pancreas and duodenum along with the kidney in diabetic nephropathy. Surgery 61: 827, 1967.

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  3. Lillehei RC, Ruiz JO: Pancreas. In: Najarian JS, Simmons RL (eds): Transplantation. Philadelphia, Lea & Febiger, 1972, p 627.

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  4. Sutherland DER, Goetz FC, Elick BA, Najarian JS: Experience with 49 segmental pancreas transplants in 45 diabetic patients. Transplantation 34: 330, 1982.

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  5. Sutherland DER, Chinn PL, Goetz FC, Elick BA, Najarian JS: Minnesota experience with 85 pancreas transplants between 1978 and 1983. World J Surg, 1984, in press.

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© 1984 Springer-Verlag New York Inc.

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Sutherland, D.E.R., Ascher, N.L., Najarian, J.S. (1984). Pancreas Transplantation. In: Simmons, R.L., Finch, M.E., Ascher, N.L., Najarian, J.S. (eds) Manual of Vascular Access, Organ Donation, and Transplantation. Comprehensive Manuals of Surgical Specialties. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5238-2_17

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  • DOI: https://doi.org/10.1007/978-1-4612-5238-2_17

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-9752-9

  • Online ISBN: 978-1-4612-5238-2

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