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Review

Total pancreatectomy and islet cell autotransplantation: Definitive treatment for chronic pancreatitis

Karla M. Arce, MD, Yu Kuei Lin, MD, Tyler Stevens, MD, R. Matthew Walsh, MD and Betul A. Hatipoglu, MD
Cleveland Clinic Journal of Medicine June 2016, 83 (6) 435-442; DOI: https://doi.org/10.3949/ccjm.83a.15056
Karla M. Arce
Department of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic
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Yu Kuei Lin
Department of Endocrinology, Diabetes, and Metabolism, Cleveland Clinic
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Tyler Stevens
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R. Matthew Walsh
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Betul A. Hatipoglu
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    TABLE 1

    Contraindications to total pancreatectomy with islet autotransplant

    Active alcoholism
    Pancreatic cancer
    Poorly controlled psychiatric illness
    Illegal drug use
    Preexisting type 1 or C-peptide-negative diabetes Portal vein thrombosis
    Portal hypertension
    Steatohepatitis
    Prior lateral pancreaticojejunostomy
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Cleveland Clinic Journal of Medicine: 83 (6)
Cleveland Clinic Journal of Medicine
Vol. 83, Issue 6
1 Jun 2016
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Total pancreatectomy and islet cell autotransplantation: Definitive treatment for chronic pancreatitis
Karla M. Arce, Yu Kuei Lin, Tyler Stevens, R. Matthew Walsh, Betul A. Hatipoglu
Cleveland Clinic Journal of Medicine Jun 2016, 83 (6) 435-442; DOI: 10.3949/ccjm.83a.15056

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Total pancreatectomy and islet cell autotransplantation: Definitive treatment for chronic pancreatitis
Karla M. Arce, Yu Kuei Lin, Tyler Stevens, R. Matthew Walsh, Betul A. Hatipoglu
Cleveland Clinic Journal of Medicine Jun 2016, 83 (6) 435-442; DOI: 10.3949/ccjm.83a.15056
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  • Article
    • ABSTRACT
    • CHRONIC PANCREATITIS IS PROGRESSIVE AND PAINFUL
    • HISTORY OF THE PROCEDURE
    • PRIMARY INDICATION: INTRACTABLE PAIN
    • OR
    • CONTRAINDICATIONS
    • WHEN TO CONSIDER REFERRAL FOR THIS PROCEDURE
    • REMOVING THE PANCREAS, RETURNING THE ISLET CELLS
    • CONTROLLING GLUCOSE DURING AND AFTER THE PROCEDURE
    • OUTCOMES
    • OFF-SITE ISLET CELL ISOLATION
    • PATIENT CARE AFTER THE PROCEDURE
    • WHAT TO EXPECT FOR THE FUTURE
    • Footnotes
    • REFERENCES
  • Figures & Data
  • Info & Metrics
  • PDF

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