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Simultaneous en‐bloc pancreas and kidney transplantation from a small pediatric donor after circulatory death
Author(s) -
Dobbs Sian,
Shapey Iestyn M.,
Summers Angela,
Moinuddin Zia,
van Dellen David,
Augustine Titus
Publication year - 2019
Publication title -
american journal of transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.89
H-Index - 188
eISSN - 1600-6143
pISSN - 1600-6135
DOI - 10.1111/ajt.15044
Subject(s) - medicine , circulatory system , pancreas , transplantation , pancreas transplantation , kidney transplantation , kidney , intensive care medicine , surgery
Simultaneous pancreas and kidney transplantation (SPKT) is an effective treatment option for patients with type 1 diabetes and end stage renal disease. Increasing demands for organs for transplantation coupled with a rise in age and size of adult donors has led to greater utilization of pediatric donors, and with good outcomes. Nonetheless, there remains reticence among transplant surgeons to transplant pancreases from small pediatric donors despite the optimal characteristics and macroscopic features of the younger pancreas. We report a successful case of SPKT from a small pediatric donor and explore the aspects of potential concern that might have led some clinicians to decline these organs. We also discuss the measures taken to overcome potential obstacles to successful transplantation from this donor source, and the rationale behind them.