Abstract
Total pancreatectomy with islet autotransplantation has been increasingly used over the past decade to treat children with refractory pain and lifestyle limitations from chronic and recurrent acute pancreatitis. Children undergoing the procedure require multidisciplinary support in the postoperative outpatient setting in order to achieve optimal outcomes. This includes the management of new (sometimes temporary) diabetes mellitus, postoperative pain and weaning off of opioids, exocrine pancreatic insufficiency, and optimizing nutritional status. In this chapter, the authors present practical considerations for the postoperative care of pediatric TPIAT patients and review the current literature surrounding short- and longer-term outcomes specific to this patient population.
| Original language | English (US) |
|---|---|
| Title of host publication | Pediatric Solid Organ Transplantation |
| Subtitle of host publication | A Practical Handbook |
| Publisher | Springer Nature |
| Pages | 369-380 |
| Number of pages | 12 |
| ISBN (Electronic) | 9789811969096 |
| ISBN (Print) | 9789811969089 |
| DOIs | |
| State | Published - Jan 1 2023 |
Bibliographical note
Publisher Copyright:© Springer Nature Singapore Pte Ltd. 2023.
Keywords
- Chronic pancreatitis
- Islet cell autotransplantation
- Outcomes of total pancreatectomy with islet autotransplantation
- Pancreatic exocrine insufficiency
- Postoperative diabetes
- Total pancreatectomy
