Arch Iran Med. 2014;17(9): 0-0.
PMID: 25204483
Scopus ID: 84906925061
  Abstract View: 603
  PDF Download: 411

Case Report

En-Bloc Liver–Pancreas Transplant in Iran

Saman Nikeghbalian, Seyed Haider Mehdi, Mohsen Aliakbarian, Kourosh Kazemi, Alireza Shamsaeefar, Amin Bahreini, Siavash Gholami, Seyed Ali Malekhosseini *


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.

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ePublished: 01 Sep 2014
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