Total Pancreatectomy with Islet Autotransplantation: New Insights on the Pathology and Pathogenesis of Chronic Pancreatitis from Tissue Research

Sadé M.B. Finn, Melena D. Bellin

Research output: Contribution to journalReview articlepeer-review

Abstract

Total pancreatectomy with islet autotransplantation (TPIAT) is a surgical procedure undertaken in some patients with severe pain or disability from recurrent acute and chronic pancreatitis (CP). TPIAT provides a rare opportunity to study human pancreas tissue from patients affected with pancreatitis, and particularly from patients with genetic forms of pancreatitis. Research to date suggests distinct histopathology and potentially differential pathophysiology of distinct etiologies of CP. Histopathology specimens have helped better define the success and limitations of clinical diagnostic imaging tools, such as magnetic retrograde cholangiopancreatography and endoscopic ultrasound.

Original languageEnglish (US)
Pages (from-to)503-509
Number of pages7
JournalSurgical Pathology Clinics
Volume15
Issue number3
DOIs
StatePublished - Sep 2022

Bibliographical note

Funding Information:
Dr S.M.B. Finn has nothing to disclose. Dr M.D. Bellin was supported by R01-DK109124 and also discloses relationships with Insulet (DSMB member), Ariel Precision Medicine (advisory board), and Viaycte (research support).

Keywords

  • Chronic pancreatitis
  • Hereditary pancreatitis
  • Pancreatitis
  • TPIAT
  • Total pancreatectomy
  • Pancreatectomy/methods
  • Humans
  • Islets of Langerhans Transplantation/methods
  • Pancreatitis, Chronic/diagnosis
  • Transplantation, Autologous

PubMed: MeSH publication types

  • Review
  • Journal Article

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