-
- Melena D Bellin, Martin L Freeman, Andres Gelrud, Adam Slivka, Alfred Clavel, Abhinav Humar, Sarah J Schwarzenberg, Mark E Lowe, Michael R Rickels, David C Whitcomb, Jeffrey B Matthews, PancreasFest Recommendation Conference Participants, Stephen Amann, Dana K Andersen, Michelle A Anderson, John Baillie, Geoffrey Block, Randall Brand, Suresh Chari, Marie Cook, Gregory A Cote, Ty Dunn, Luca Frulloni, Julia B Greer, Michael A Hollingsworth, Kyung Mo Kim, Alexander Larson, Markus M Lerch, Tom Lin, Thiruvengadam Muniraj, R Paul Robertson, Seth Sclair, Shalinender Singh, Rachelle Stopczynski, Frederico G S Toledo, Charles Melbern Wilcox, John Windsor, and Dhiraj Yadav.
- Department of Pediatrics, University of Minnesota, Minneapolis, MN, USA. Electronic address: bell0130@umn.edu.
- Pancreatology. 2014 Jan 1; 14 (1): 27-35.
DescriptionTotal pancreatectomy with islet autotransplantation (TPIAT) is a surgical procedure used to treat severe complications of chronic pancreatitis or very high risk of pancreatic cancer while reducing the risk of severe diabetes mellitus. However, clear guidance on indications, contraindications, evaluation, timing, and follow-up are lacking.MethodsA working group reviewed the medical, psychological, and surgical options and supporting literature related to TPIAT for a consensus meeting during PancreasFest.ResultsFive major areas requiring clinical evaluation and management were addressed: These included: 1) indications for TPIAT; 2) contraindications for TPIAT; 3) optimal timing of the procedure; 4) need for a multi-disciplinary team and the roles of the members; 5) life-long management issues following TPIAP including diabetes monitoring and nutrition evaluation.ConclusionsTPIAT is an effective method of managing the disabling complications of chronic pancreatitis and risk of pancreatic cancer in very high risk patients. Careful evaluation and long-term management of candidate patients by qualified multidisciplinary teams is required. Multiple recommendations for further research were also identified.Copyright © 2013 IAP and EPC. All rights reserved.
Notes
Knowledge, pearl, summary or comment to share?You can also include formatting, links, images and footnotes in your notes
- Simple formatting can be added to notes, such as
*italics*
,_underline_
or**bold**
. - Superscript can be denoted by
<sup>text</sup>
and subscript<sub>text</sub>
. - Numbered or bulleted lists can be created using either numbered lines
1. 2. 3.
, hyphens-
or asterisks*
. - Links can be included with:
[my link to pubmed](http://pubmed.com)
- Images can be included with:

- For footnotes use
[^1](This is a footnote.)
inline. - Or use an inline reference
[^1]
to refer to a longer footnote elseweher in the document[^1]: This is a long footnote.
.