Pancreatico-duodenectomy for duodenal lesions: Indications and results

s / Pancreatology pancreas transplant is the treatment of choice in tight control of blood sugar for IDDM patients, and further to stabilize, prevent or even to reverse the diabetic complications. Aims: Wewill present our experience in pancreas transplant which was initiated on September 19, 2003. Patients & methods: From September 2003 to December 2013, there were 94 pancreas transplants performed for 90 patients at Taipei Veterans General Hospital, with 34 SPK, 10 PAK, 40 PTA and 10 PBK. Most (82.3%) of our pancreas transplants were for IDDM patients. Results: The blood sugar usually returned to normal level within 5 hours (median) after revascularization of the pancreas grafts. The fasting blood sugar maintained within normal range thereafter throughout the whole clinical course in most cases. There were 2 surgical mortality. The technical success rate was 94.9%. Excluding the 4 cases with technique failure, overall 1-year pancreas graft survival is 98.5% and 5-year is 94.1%, with 100% 1-year for SPK, 97.1% 1-year for PTA, 100% 1-year for PAK and 100% 1-year for PBK. Conclusion: Pancreas transplant provided an ideal insulin-free solution for DM, especially IDDM. Pancreas transplant could be performed with similar successful rate irrespective of the type of pancreas transplant at our hospital.