Principles of surgery. Day case surgery is a rapidly evolving surgical sub speciality that seeks to eliminate the need for prolonged admission in surgical patients and the attendant complications of prolonged immobilization. It is based on the documented evidence that most post op patients does not require specialised post op care and hence can be allowed to recover at home. This form of surgery appeals to patients and their families due to the fact that it allows only minimal interruption of patient's social life
Whipple's procedure - Indications, Steps, ComplicationsVikas V
Whipple's Procedure - Explaining the History of Whipple's Procedure, Indications, Contraindications, Step wise detailed procedure, Complications, Perioperative Management.
The Presentation Includes Detailed Step wise approach to the procedure assisted with Pictorial Representation of The steps
Steal syndrome
• Dialysis access–associated hand ischemia, “steal syndrome,” complicates 1%–20% of accesses
• Is stealing سرقة of (arterial) blood which would normally flow to the palmar arch.
• Common in upper arm AVFs (~4%) compared with both AVGs and forearm AVFs (~1%).
• Risk factors
Upper arm access
Peripheral arterial disease
Diabetes
• Patient can complain of:
Hand numbness, pain, or weakness
Cold sensation and pale or cyanosis of the fingers
Diminished or absent pulses
Ulceration or dry gangrene of the finger tips in severe cases infection.
Pt start to wear gloves in fistula hand
• Examination requires comparison with the temperature, pulse, and function of the opposite hand.
• Investigations
Pulse oximetry
Doppler flow
Angiography
• Differential diagnosis
Carpal tunnel syndrome
Peripheral vascular disease
Neuropathy DM or Uremia
Nerve trauma
Ischemic monomelic neuropathy due to the loss of blood supply to nerves.
• Treatment Options (Depending on Severity)
Symptomatic coldness or paresthesia but without sensory or motor loss (e.g., gloves)
Surgical, with preservation of vascular access- in "steal” effect (pain at rest) or the appearance of nonhealing ulcers: banding to reduce flow, distal revascularization–interval ligation (DRIL) procedure
Surgical, with loss of vascular access- in motor loss: ligation
A heart transplant, or a cardiac transplant, is a surgical transplant procedure performed on patients with end-stage heart failure or severe coronary artery disease. As of 2008 the most common procedure is to take a working heart from a recently deceased organ donor (cadaveric allograft) and implant it into the patient. The patient's own heart is either removed (orthotopic procedure) or, less commonly, left in place to support the donor heart (heterotopic procedure). Post-operation survival periods average 15 years. Heart transplantation is not considered to be a cure for heart disease, but a life-saving treatment intended to improve the quality of life for recipients
Principles of surgery. Day case surgery is a rapidly evolving surgical sub speciality that seeks to eliminate the need for prolonged admission in surgical patients and the attendant complications of prolonged immobilization. It is based on the documented evidence that most post op patients does not require specialised post op care and hence can be allowed to recover at home. This form of surgery appeals to patients and their families due to the fact that it allows only minimal interruption of patient's social life
Whipple's procedure - Indications, Steps, ComplicationsVikas V
Whipple's Procedure - Explaining the History of Whipple's Procedure, Indications, Contraindications, Step wise detailed procedure, Complications, Perioperative Management.
The Presentation Includes Detailed Step wise approach to the procedure assisted with Pictorial Representation of The steps
Steal syndrome
• Dialysis access–associated hand ischemia, “steal syndrome,” complicates 1%–20% of accesses
• Is stealing سرقة of (arterial) blood which would normally flow to the palmar arch.
• Common in upper arm AVFs (~4%) compared with both AVGs and forearm AVFs (~1%).
• Risk factors
Upper arm access
Peripheral arterial disease
Diabetes
• Patient can complain of:
Hand numbness, pain, or weakness
Cold sensation and pale or cyanosis of the fingers
Diminished or absent pulses
Ulceration or dry gangrene of the finger tips in severe cases infection.
Pt start to wear gloves in fistula hand
• Examination requires comparison with the temperature, pulse, and function of the opposite hand.
• Investigations
Pulse oximetry
Doppler flow
Angiography
• Differential diagnosis
Carpal tunnel syndrome
Peripheral vascular disease
Neuropathy DM or Uremia
Nerve trauma
Ischemic monomelic neuropathy due to the loss of blood supply to nerves.
• Treatment Options (Depending on Severity)
Symptomatic coldness or paresthesia but without sensory or motor loss (e.g., gloves)
Surgical, with preservation of vascular access- in "steal” effect (pain at rest) or the appearance of nonhealing ulcers: banding to reduce flow, distal revascularization–interval ligation (DRIL) procedure
Surgical, with loss of vascular access- in motor loss: ligation
A heart transplant, or a cardiac transplant, is a surgical transplant procedure performed on patients with end-stage heart failure or severe coronary artery disease. As of 2008 the most common procedure is to take a working heart from a recently deceased organ donor (cadaveric allograft) and implant it into the patient. The patient's own heart is either removed (orthotopic procedure) or, less commonly, left in place to support the donor heart (heterotopic procedure). Post-operation survival periods average 15 years. Heart transplantation is not considered to be a cure for heart disease, but a life-saving treatment intended to improve the quality of life for recipients
Abnormal Renal Mass in Adult Polycystic Kidney Disease: A Diagnostic Dilemmpateldrona
The incidence of renal cell carcinoma (RCC) in patients with polycystic kidney disease (PCKD) has shown to be higher compared to the general population [1, 4]. However the incidence of RCC in young individuals (<40 years old) is extremely rare compared to older patients...
Abnormal Renal Mass in Adult Polycystic Kidney Disease: A Diagnostic Dilemmclinicsoncology
The incidence of renal cell carcinoma (RCC) in patients with polycystic kidney disease (PCKD) has shown to be higher compared to the general population [1, 4]. However the incidence of RCC in young individuals (<40 years old) is extremely rare compared to older patients...
Abnormal Renal Mass in Adult Polycystic Kidney Disease: A Diagnostic DilemmAnonIshanvi
The incidence of renal cell carcinoma (RCC) in patients with polycystic kidney disease (PCKD) has shown to be higher compared to the general population [1, 4].
Abnormal Renal Mass in Adult Polycystic Kidney Disease: A Diagnostic DilemmSarkarRenon
The incidence of renal cell carcinoma (RCC) in patients with polycystic kidney disease (PCKD) has shown to be higher compared to the general population [1, 4]. However the incidence of RCC in young individuals (<40 years old) is extremely rare compared to older patients...
Abnormal Renal Mass in Adult Polycystic Kidney Disease: A Diagnostic DilemmAnnalsofClinicalandM
The incidence of renal cell carcinoma (RCC) in patients with polycystic kidney disease (PCKD) has shown to be higher compared to the general population
Abnormal Renal Mass in Adult Polycystic Kidney Disease: A Diagnostic Dilemmkomalicarol
A 24-year-oldAfrican American man with history of polycystic
kidney disease, autism and schizophrenia was admitted to our
hospital for nausea, vomiting and one episode of mild hematuria
for 1 week. He was afebrile at presentation. Urinalysis was negative.
There was no leukocytosis on admission. His renal function tests
were within normal limits. CT scan (with contrast) of the abdomen
was acquired showing innumerable bilateral renal cysts (Figure 1).
One of which measured 4.5 x 5.2 cm as a heterogeneous mass with
epicenter in the superior pole of the left kidney showing extension
into renal hilum. This was most concerning for RCC.
Strict Glycemic Control in Critically ill patients: The Demise of another ver...Prof. Mridul Panditrao
Prof. Mridul M. Panditrao tries to explain the pros and cons about the good strategy, whcih became controversial and almost obsolete. He also tries to tract the whole aspect of the phenomenon and reviews/ RCTs/
Strict (Tight) Glycemic control (SGC/TGC), as it is called, was and still is a good strategy. It can be defined as maintenance of the blood glucose level in the range of 80-110 mg /dl. with help of dose variable and intensive insulin therapy (IIT). Since its introduction, there have been conflicting reports of its efficacy and complications. This resulted in slow but steady neglect of this very good idea leading to its almost complete demise.
An effort has been made in this review, to impartially analyze all the available evidence and try to find the reasons for the negative publicity which led to the neglect or worse still, the wrong use of this protocol. Some suggestions for fair and proper implementation of the strategy are put forward.
etc/
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
1. The Role of Pancreas
Transplantation in the Long Term
Management of Diabetes
Christopher Johnson MD
Professor of Surgery
Division of Transplant Surgery
Medical College of Wisconsin
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2. Learning objectives:
1. This talk will increase your understanding about the
rationale (including risk/benefit assessment) for
pancreas transplantation in the management of
diabetes.
2. This talk will allow you to better appreciate some of
technical and immunological challenges associated
with pancreas transplantation
3. This talk will help you to better anticipate therapy
options for diabetic patients who have chronic kidney
disease. Brought to you by
4. Tight control reduces end organ damage
but increases the risk (2-3 fold) of
severe hypoglycemic episodes (1).
1 DCCT. The Diabetes Control and
Complications Trial Research Group The
Effect of Intensive Treatment of Diabetes
on the Development and Progression of
Long-Term Complications in Insulin-
Dependent Diabetes Mellitus. N Engl J
Med 1993; 329: 977–986.
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5. DCCT trial (1441 patients randomized to intensive
insulin vs. conventional insulin) designed to
examine the effect of tight control on 2°
complications (followed > 6yrs)
Retinopathy Neuropathy
Incidence progression Prevalence of neuropathy
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6. A successful pancreas transplant
completely normalizes blood sugar
control
However, it requires life long immunosuppression
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7. Types of pancreas transplants:
Kidney/Pancreas (pts undergoing kidney
transplantation)
Pancreas after kidney (already on IS)
Pancreas transplant alone (severe life-
threatening complications of DM)
Islet after kidney (no surgical procedure)
Islet transplant (no surgical procedure but
requires IS)
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9. Indications for Simultaneous Kidney
and Pancreas Transplant:
Presence of ESRD (or eGFR < 20 ml/min)
Presence of diabetes: type 1 or 2 (meeting
age (< 55) and BMI criteria (<30)
Lack of major complications and/or severe
cardiovascular disease which limits life
expectancy
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10. Figure 13: Unadjusted 1-year, 3-year, 5-year and 10-year
pancreas graft survival by transplant type
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11. Reversal of Lesions of Diabetic Nephropathy after Pancreas
Transplantation
Fioretto, Paola; Steffes, Michael W.; Sutherland, David E.R.; Goetz, Frederick C.; Mauer,
Michael.
NEJM 339:69-75 July 9, 1998 Number 2
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12. Survival estimates for patients with kidney graft function at 1 year.
Abbreviations: LD, living donor; CAD, cadaveric.
Long-term survival following simultaneous kidney-pancreas
transplantation versus kidney transplantation alone in patients
with type 1 diabetes mellitus and renal failure
Am J Kid Disease 41:464-470. 2003
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13. Figure 2: Waiting list death rates by
diagnosis, 1999–2008.
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14. Diabetics who receive k/p gain more life-
years than k-alone or non-diabetics:
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15. k/p transplants are equally successful for type 1
and type 2 diabetes:
data from SRTR
2010
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16. What is the role of pancreas
transplant in type 2 diabetes?
Diabetes affects 10% of the population
90-95% is type 2
Distinction between type 1 and 2 not
always clear cut
cC –peptide is not accurate in renal failure
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23. Arterial “Y” Graft of Donor Iliac Artery
Portal Vein Mobilization
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24. Bladder Drainage with Systemic Venous
Anastomosis
Enteric Drainage with Portal Venous
Anastomosis
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25. Trends in maintenance immunosuppression therapy prior to
discharge for simultaneous kidney-pancreas
transplantation 1994-2003
American Journal of Transplantation 2005;5(Part 2):874-886
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26. Incidence of rejection during first year among simultaneous
kidney-pancreas recipients
American Journal of Transplantation 2005;5(Part 2):874-886
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27. ADVANCES IN PANCREAS TRANSPLANTATION.
Transplantation. 77(9) Supplement:S62-S67, May 15, 2004.
Burke G, Ciancio G, Sollinger H
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28. Post-Transplant Complications
•Early post-operative complications (Bleeding, infection)
•Venous Thrombosis
•Reperfusion pancreatitis
•Pancreas is a relatively low-flow organ
•Unrecognized inherited hypercoagulable state
in the recipient
•Transplant Pancreatitis
•Mild - transient amylase elevation for 48-96h
•Severe – fat necrosis, infected peripancreatic fluid
•Kidney (urine leak, ureteral stricture)
Surgical Aspects of Pancreas Transplantation:
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32. Drachenberg CB, Papadimitriou JC, Klassen DK, et.al: Evaluation of pancreas transplant needle biopsy.
Reproducibility and revision of histologic grading system. Transplantation 1997;63(11):1579-1586.
Drachenberg C, Klassen D, Bartlett S, Hoehn-Saric E, Schweitzer E, Johnson L, Weir J and Papadimitriou J:
Histologic grading of pancreas acute allograft rejection in percutaneous needle biopsies.
Transplant Proc 1996;28(1):512-513
Diagnosis of Pancreatic Allograft Rejection (is difficult)
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34. PAK and PTA have higher rate of
immunologic graft loss after 1 year
35. Indications for isolated pancreas
transplant (PAK or PTA):
Frequent and/or severe hypoglycemic
events
consistent failure of insulin-based
management to prevent acute and chronic
complications (poor control).
clinical and/or emotional problems
associated with the use of exogenous
insulin therapy that are so severe as to be
incapacitating Brought to you by
36. Isolated Pancreas Transplant: Recipient
Selection Criteria
IDDM, age > 18 years with an upper age limit of ?
Ability to withstand surgery and immunosuppression
Psychosocial stability/ social support/ compliance/
commitment to long-term follow-up
Diabetic secondary complications
Hyper-lability/ Hypoglycemic Unawareness
Financial resources (USA)
Absence of any exclusionary criteria:
- renal function
- coronary disease
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37. Mortality risk/benefit of PAK and PTA:
American Journal of Transplantation 2004; 4:
2018–2026
Mortality on waiting list: Mortality after transplant:
spkSPK
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38. Islet Isolation
1. Organ Procurement
2. Distension with
Collagenase
3. Digestion & Mechanical
Separation
4. Purification of Islets
5. Quantification
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49. Successful islet transplants decrease
progression of nephropathy and retinopathy
Preservation of renal
function
Decreased progression of
retinopathy
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50. Conclusions:
Pancreas transplants when successful, normalize
glucose metabolism and increase quality (and
quantity) of life.
“Good risk” diabetics (type 1 or 2) with renal failure
should receive either a living donor kidney transplant
or a combined kidney/pancreas transplant
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51. Conclusions:
“Good risk” diabetics with a functioning
kidney transplant (and problematic BS
control) should be considered for pancreas
after kidney
“Better risk” diabetics without kidney
disease, but with life threatening
manifestations should be considered for
pancreas transplant alone
“Good” = age < 55, BMI < 30, insulin use
< 1U/kg/day, no or minimal CAD, PVD
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52. This platform has been started by
Parveen Kumar Chadha with the
vision that nobody should suffer
the way he has suffered because of
lack and improper healthcare
facilities in India. We need lots of
funds manpower etc. to make this
vision a reality please contact us.
Join us as a member for a noble
cause.
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