Elkhammas E A, Henry M L, Yilmaz S, Bumgardner G L, Ferguson R M
Ohio State University, Columbus, USA.
Nephrol News Issues. 1997 Mar;11(3):41-3.
Whole pancreas transplantation is becoming a real and safe option for treatment of type 1 diabetic patients. Several controversial issues are still waiting for answers. Portal drainage has been reported to be a possible alternative to systemic drainage, but no prospective data comparing the two techniques is available yet. Further data comparing enteric and bladder drainage is also overdue. With new immunosuppressive agents, isolated pancreas transplantation may also gain better survival and wider application.
全胰腺移植正成为治疗1型糖尿病患者切实可行且安全的选择。仍有几个有争议的问题有待解答。据报道,门静脉引流可能是全身引流的一种替代方法,但目前尚无比较这两种技术的前瞻性数据。比较肠内引流和膀胱引流的进一步数据也迟迟未出。随着新型免疫抑制剂的出现,单独胰腺移植也可能获得更好的存活率和更广泛的应用。