1. En-Bloc Transplant of the Liver, Kidney and Pancreas: Experience from a Latin American Transplant Center.
- Author
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Caicedo LA, Villegas JI, Serrano O, Millán M, Sepúlveda M, Jiménez D, García J, Posada JG, Mesa L, Duran C, Schweineberg J, Dávalos D, Manzi E, Sabogal A, Aristizabal AM, and Echeverri GJ
- Subjects
- Adult, Humans, Male, Middle Aged, Treatment Outcome, Diabetes Mellitus, Type 1 surgery, Diabetes Mellitus, Type 2 surgery, Kidney Failure, Chronic surgery, Kidney Transplantation methods, Liver Cirrhosis surgery, Liver Transplantation methods, Pancreas Transplantation methods
- Abstract
BACKGROUND En-bloc transplantation is a surgical procedure in which multiple organs are transplanted simultaneously. It has some similarities with multi-organ transplantation but offers certain advantages. This report highlights the experience of our interdisciplinary group regarding the treatment and follow-up of patients who received en-bloc transplantation, with the aim of encouraging the development of this surgical technique. CASE REPORT The first case is a 38-year-old patient with type 1 diabetes mellitus, liver cirrhosis, and chronic kidney failure who received an en-bloc transplant of the liver, pancreas, and kidney with no intraoperative complications. He had a prolonged hospital stay due to anemia and systemic inflammatory response syndrome, which were resolved successfully. At follow-up, he had no requirement for insulin or for dialysis, or for new interventions. The second case describes a 48-year-old patient with type 2 diabetes mellitus, renal failure, and liver cirrhosis who received an en-bloc transplant of the liver, pancreas, and kidney with no complications. During the postoperative period, the patient suffered a possible episode of acute tubular necrosis, which evolved towards improvement, with a tendency to normal metabolic and renal functioning, with no additional events. The patient is currently in follow-up and is insulin-independent. CONCLUSIONS En-bloc transplantation is a safe procedure, which is technically simple and which achieves excellent results. This procedure is indicated in patients with end-stage renal disease, cirrhosis, and diabetes mellitus that is difficult to control., Competing Interests: Conflicts of Interest: None declared Statement All authors certify that they have no conflict of interest.
- Published
- 2017
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