Segmental pancreatic autotransplantation with pancreatic ductal occlusion after near total or total pancreatic resection for chronic XXXX . Results at 5- to 54-month follow-up evaluation.

@entity1 @entity788 @entity6 @entity1689 @entity8883 @entity2690 @entity158 @entity413
Reported are eight @entity1 with @entity1689 and two @entity1 with @entity8883 who had near total distal pancreatectomy for disabling @entity158 and underwent simultaneous segmental pancreatic autotransplantation of the body and tail of the gland to the femoral area in an attempt to prevent or delay the onset of @entity6 . The median follow-up period was 31 months, and follow-up study in nine @entity1 ranged from 24 to 54 months. Patency of the grafts was determined by angiography and selected percutaneous venous assays for @entity2690 . Islet cell function was determined by oral @entity413 tolerance tests, intravenous (I.V.) @entity413 tolerance tests, and I.V. glucagon stimulation studies. Segmental autotransplantation was technically successful in eight @entity1 , only one of whom required @entity2690 (at 2 years after grafting). The other seven @entity1 with technically successful grafts have remained @entity2690 independent, including two @entity1 who later underwent pyloric preserving pancreatoduodenectomy for completion pancreatectomy. Variable @entity158 relief was observed in @entity1 who underwent near total pancreatectomy, but @entity158 was unrelieved in those @entity1 who underwent limited distal resection. @entity1 with idiopathic @entity788 appear to have @entity158 relief and preservation of endocrine function than alcoholic @entity1 . Segmental pancreatic autotransplantation prevents or delays the onset of @entity6 and should be considered as an alternative for those @entity1 who require extensive pancreatic resection for chronic @entity788 .
