Total pancreatectomy with islet autotransplantation: summary of a National Institute of Diabetes and Digestive and Kidney diseases workshop.
Identifieur interne : 000B39 ( Main/Exploration ); précédent : 000B38; suivant : 000B40Total pancreatectomy with islet autotransplantation: summary of a National Institute of Diabetes and Digestive and Kidney diseases workshop.
Auteurs : Melena D. Bellin [États-Unis] ; Andres Gelrud ; Guillermo Arreaza-Rubin ; Ty B. Dunn ; Abhinav Humar ; Katherine A. Morgan ; Bashoo Naziruddin ; Cristiana Rastellini ; Michael R. Rickels ; Sarah J. Schwarzenberg ; Dana K. AndersenSource :
- Pancreas [ 1536-4828 ] ; 2014.
Descripteurs français
- KwdFr :
- Adulte, Amélioration de la qualité, Anti-inflammatoires (usage thérapeutique), Anticoagulants (usage thérapeutique), Complications postopératoires (), Complications postopératoires (étiologie), Diabète de type 1 (), Diabète de type 1 (traitement médicamenteux), Diabète de type 1 (étiologie), Enfant, Enregistrements, Food and Drug Administration (USA), Humains, Héparine (usage thérapeutique), Immunoglobuline G (usage thérapeutique), Immunosuppresseurs (usage thérapeutique), Insuline (usage thérapeutique), National Institute of Diabetes and Digestive and Kidney Diseases (USA), Pancréatectomie (), Pancréatectomie (effets indésirables), Pancréatectomie (économie), Pancréatite chronique (), Pancréatite chronique (génétique), Pancréatite chronique (traitement médicamenteux), Qualité de vie, Recherche, Récepteurs aux facteurs de nécrose tumorale (usage thérapeutique), Sélection de patients, Transplantation d'ilots de Langerhans (), Transplantation d'ilots de Langerhans (normes), Transplantation d'ilots de Langerhans (économie), Étanercept, États-Unis d'Amérique.
- MESH :
- effets indésirables : Pancréatectomie.
- génétique : Pancréatite chronique.
- normes : Transplantation d'ilots de Langerhans.
- traitement médicamenteux : Diabète de type 1, Pancréatite chronique.
- usage thérapeutique : Anti-inflammatoires, Anticoagulants, Héparine, Immunoglobuline G, Immunosuppresseurs, Insuline, Récepteurs aux facteurs de nécrose tumorale.
- économie : Pancréatectomie, Transplantation d'ilots de Langerhans.
- étiologie : Complications postopératoires, Diabète de type 1.
- Adulte, Amélioration de la qualité, Complications postopératoires, Diabète de type 1, Enfant, Enregistrements, Food and Drug Administration (USA), Humains, National Institute of Diabetes and Digestive and Kidney Diseases (USA), Pancréatectomie, Pancréatite chronique, Qualité de vie, Recherche, Sélection de patients, Transplantation d'ilots de Langerhans, Étanercept, États-Unis d'Amérique.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Adult, Anti-Inflammatory Agents (therapeutic use), Anticoagulants (therapeutic use), Child, Diabetes Mellitus, Type 1 (drug therapy), Diabetes Mellitus, Type 1 (etiology), Diabetes Mellitus, Type 1 (prevention & control), Diabetes Mellitus, Type 1 (surgery), Etanercept, Heparin (therapeutic use), Humans, Immunoglobulin G (therapeutic use), Immunosuppressive Agents (therapeutic use), Insulin (therapeutic use), Islets of Langerhans Transplantation (economics), Islets of Langerhans Transplantation (methods), Islets of Langerhans Transplantation (standards), National Institute of Diabetes and Digestive and Kidney Diseases (U.S.), Pancreatectomy (adverse effects), Pancreatectomy (economics), Pancreatectomy (methods), Pancreatitis, Chronic (drug therapy), Pancreatitis, Chronic (genetics), Pancreatitis, Chronic (surgery), Patient Selection, Postoperative Complications (etiology), Postoperative Complications (therapy), Quality Improvement, Quality of Life, Receptors, Tumor Necrosis Factor (therapeutic use), Registries, Research, United States, United States Food and Drug Administration.
- MESH :
- chemical , therapeutic use : Anti-Inflammatory Agents, Anticoagulants, Heparin, Immunoglobulin G, Immunosuppressive Agents, Insulin, Receptors, Tumor Necrosis Factor.
- geographic : United States.
- adverse effects : Pancreatectomy.
- drug therapy : Diabetes Mellitus, Type 1, Pancreatitis, Chronic.
- economics : Islets of Langerhans Transplantation, Pancreatectomy.
- etiology : Diabetes Mellitus, Type 1, Postoperative Complications.
- genetics : Pancreatitis, Chronic.
- methods : Islets of Langerhans Transplantation, Pancreatectomy.
- prevention & control : Diabetes Mellitus, Type 1.
- standards : Islets of Langerhans Transplantation.
- surgery : Diabetes Mellitus, Type 1, Pancreatitis, Chronic.
- therapy : Postoperative Complications.
- Adult, Child, Etanercept, Humans, National Institute of Diabetes and Digestive and Kidney Diseases (U.S.), Patient Selection, Quality Improvement, Quality of Life, Registries, Research, United States Food and Drug Administration.
Abstract
A workshop sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases focused on research gaps and opportunities in total pancreatectomy with islet autotransplantation (TPIAT) for the management of chronic pancreatitis (CP). The session was held on July 23, 2014, and structured into 5 sessions: (1) patient selection, indications, and timing; (2) technical aspects of TPIAT; (3) improving success of islet autotransplantation; (4) improving outcomes after total pancreatectomy; and (5) registry considerations for TPIAT. The current state of knowledge was reviewed; knowledge gaps and research needs were specifically highlighted. Common themes included the need to identify which patients best benefit from and when to intervene with TPIAT, current limitations of the surgical procedure, diabetes remission and the potential for improvement, opportunities to better address pain remission, gastrointestinal complications in this population, and unique features of children with CP considered for TPIAT. The need for a multicenter patient registry that specifically addresses the complexities of CP and total pancreatectomy outcomes as well as postsurgical diabetes outcomes was repeatedly emphasized.
DOI: 10.1097/MPA.0000000000000236
PubMed: 25333399
Affiliations:
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Bellin</name><affiliation wicri:level="2"><nlm:affiliation>From the *Departments of Pediatrics and Surgery, University of Minnesota Medical School, Minneapolis, MN; †The Department of Medicine, Pritzker School of Medicine, Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, IL; ‡The Divisions of Diabetes, Endocrinology and Metabolism and of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD; §The Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA; ∥The Department of Surgery, Medical University of South Carolina, Charleston, SC; ¶Baylor Simmons Transplant Institute, Dallas, TX; #The Department of Surgery, University of Texas Medical Branch, Galveston, TX; and **The Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the *Departments of Pediatrics and Surgery, University of Minnesota Medical School, Minneapolis, MN; †The Department of Medicine, Pritzker School of Medicine, Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, IL; ‡The Divisions of Diabetes, Endocrinology and Metabolism and of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD; §The Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA; ∥The Department of Surgery, Medical University of South Carolina, Charleston, SC; ¶Baylor Simmons Transplant Institute, Dallas, TX; #The Department of Surgery, University of Texas Medical Branch, Galveston, TX; and **The Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Gelrud, Andres" sort="Gelrud, Andres" uniqKey="Gelrud A" first="Andres" last="Gelrud">Andres Gelrud</name></author><author><name sortKey="Arreaza Rubin, Guillermo" sort="Arreaza Rubin, Guillermo" uniqKey="Arreaza Rubin G" first="Guillermo" last="Arreaza-Rubin">Guillermo Arreaza-Rubin</name></author><author><name sortKey="Dunn, Ty B" sort="Dunn, Ty B" uniqKey="Dunn T" first="Ty B" last="Dunn">Ty B. 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Bellin</name><affiliation wicri:level="2"><nlm:affiliation>From the *Departments of Pediatrics and Surgery, University of Minnesota Medical School, Minneapolis, MN; †The Department of Medicine, Pritzker School of Medicine, Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, IL; ‡The Divisions of Diabetes, Endocrinology and Metabolism and of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD; §The Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA; ∥The Department of Surgery, Medical University of South Carolina, Charleston, SC; ¶Baylor Simmons Transplant Institute, Dallas, TX; #The Department of Surgery, University of Texas Medical Branch, Galveston, TX; and **The Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>From the *Departments of Pediatrics and Surgery, University of Minnesota Medical School, Minneapolis, MN; †The Department of Medicine, Pritzker School of Medicine, Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, IL; ‡The Divisions of Diabetes, Endocrinology and Metabolism and of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health, Bethesda, MD; §The Department of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA; ∥The Department of Surgery, Medical University of South Carolina, Charleston, SC; ¶Baylor Simmons Transplant Institute, Dallas, TX; #The Department of Surgery, University of Texas Medical Branch, Galveston, TX; and **The Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Gelrud, Andres" sort="Gelrud, Andres" uniqKey="Gelrud A" first="Andres" last="Gelrud">Andres Gelrud</name></author><author><name sortKey="Arreaza Rubin, Guillermo" sort="Arreaza Rubin, Guillermo" uniqKey="Arreaza Rubin G" first="Guillermo" last="Arreaza-Rubin">Guillermo Arreaza-Rubin</name></author><author><name sortKey="Dunn, Ty B" sort="Dunn, Ty B" uniqKey="Dunn T" first="Ty B" last="Dunn">Ty B. Dunn</name></author><author><name sortKey="Humar, Abhinav" sort="Humar, Abhinav" uniqKey="Humar A" first="Abhinav" last="Humar">Abhinav Humar</name></author><author><name sortKey="Morgan, Katherine A" sort="Morgan, Katherine A" uniqKey="Morgan K" first="Katherine A" last="Morgan">Katherine A. Morgan</name></author><author><name sortKey="Naziruddin, Bashoo" sort="Naziruddin, Bashoo" uniqKey="Naziruddin B" first="Bashoo" last="Naziruddin">Bashoo Naziruddin</name></author><author><name sortKey="Rastellini, Cristiana" sort="Rastellini, Cristiana" uniqKey="Rastellini C" first="Cristiana" last="Rastellini">Cristiana Rastellini</name></author><author><name sortKey="Rickels, Michael R" sort="Rickels, Michael R" uniqKey="Rickels M" first="Michael R" last="Rickels">Michael R. Rickels</name></author><author><name sortKey="Schwarzenberg, Sarah J" sort="Schwarzenberg, Sarah J" uniqKey="Schwarzenberg S" first="Sarah J" last="Schwarzenberg">Sarah J. Schwarzenberg</name></author><author><name sortKey="Andersen, Dana K" sort="Andersen, Dana K" uniqKey="Andersen D" first="Dana K" last="Andersen">Dana K. Andersen</name></author></analytic><series><title level="j">Pancreas</title><idno type="eISSN">1536-4828</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Anti-Inflammatory Agents (therapeutic use)</term><term>Anticoagulants (therapeutic use)</term><term>Child</term><term>Diabetes Mellitus, Type 1 (drug therapy)</term><term>Diabetes Mellitus, Type 1 (etiology)</term><term>Diabetes Mellitus, Type 1 (prevention & control)</term><term>Diabetes Mellitus, Type 1 (surgery)</term><term>Etanercept</term><term>Heparin (therapeutic use)</term><term>Humans</term><term>Immunoglobulin G (therapeutic use)</term><term>Immunosuppressive Agents (therapeutic use)</term><term>Insulin (therapeutic use)</term><term>Islets of Langerhans Transplantation (economics)</term><term>Islets of Langerhans Transplantation (methods)</term><term>Islets of Langerhans Transplantation (standards)</term><term>National Institute of Diabetes and Digestive and Kidney Diseases (U.S.)</term><term>Pancreatectomy (adverse effects)</term><term>Pancreatectomy (economics)</term><term>Pancreatectomy (methods)</term><term>Pancreatitis, Chronic (drug therapy)</term><term>Pancreatitis, Chronic (genetics)</term><term>Pancreatitis, Chronic (surgery)</term><term>Patient Selection</term><term>Postoperative Complications (etiology)</term><term>Postoperative Complications (therapy)</term><term>Quality Improvement</term><term>Quality of Life</term><term>Receptors, Tumor Necrosis Factor (therapeutic use)</term><term>Registries</term><term>Research</term><term>United States</term><term>United States Food and Drug Administration</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term><term>Amélioration de la qualité</term><term>Anti-inflammatoires (usage thérapeutique)</term><term>Anticoagulants (usage thérapeutique)</term><term>Complications postopératoires ()</term><term>Complications postopératoires (étiologie)</term><term>Diabète de type 1 ()</term><term>Diabète de type 1 (traitement médicamenteux)</term><term>Diabète de type 1 (étiologie)</term><term>Enfant</term><term>Enregistrements</term><term>Food and Drug Administration (USA)</term><term>Humains</term><term>Héparine (usage thérapeutique)</term><term>Immunoglobuline G (usage thérapeutique)</term><term>Immunosuppresseurs (usage thérapeutique)</term><term>Insuline (usage thérapeutique)</term><term>National Institute of Diabetes and Digestive and Kidney Diseases (USA)</term><term>Pancréatectomie ()</term><term>Pancréatectomie (effets indésirables)</term><term>Pancréatectomie (économie)</term><term>Pancréatite chronique ()</term><term>Pancréatite chronique (génétique)</term><term>Pancréatite chronique (traitement médicamenteux)</term><term>Qualité de vie</term><term>Recherche</term><term>Récepteurs aux facteurs de nécrose tumorale (usage thérapeutique)</term><term>Sélection de patients</term><term>Transplantation d'ilots de Langerhans ()</term><term>Transplantation d'ilots de Langerhans (normes)</term><term>Transplantation d'ilots de Langerhans (économie)</term><term>Étanercept</term><term>États-Unis d'Amérique</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-Inflammatory Agents</term><term>Anticoagulants</term><term>Heparin</term><term>Immunoglobulin G</term><term>Immunosuppressive Agents</term><term>Insulin</term><term>Receptors, Tumor Necrosis Factor</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="adverse effects" xml:lang="en"><term>Pancreatectomy</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Diabetes Mellitus, Type 1</term><term>Pancreatitis, Chronic</term></keywords><keywords scheme="MESH" qualifier="economics" xml:lang="en"><term>Islets of Langerhans Transplantation</term><term>Pancreatectomy</term></keywords><keywords scheme="MESH" qualifier="effets indésirables" xml:lang="fr"><term>Pancréatectomie</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Diabetes Mellitus, Type 1</term><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Pancreatitis, Chronic</term></keywords><keywords scheme="MESH" qualifier="génétique" xml:lang="fr"><term>Pancréatite chronique</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Islets of Langerhans Transplantation</term><term>Pancreatectomy</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Transplantation d'ilots de Langerhans</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Diabetes Mellitus, Type 1</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Islets of Langerhans Transplantation</term></keywords><keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Diabetes Mellitus, Type 1</term><term>Pancreatitis, Chronic</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Postoperative Complications</term></keywords><keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Diabète de type 1</term><term>Pancréatite chronique</term></keywords><keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Anti-inflammatoires</term><term>Anticoagulants</term><term>Héparine</term><term>Immunoglobuline G</term><term>Immunosuppresseurs</term><term>Insuline</term><term>Récepteurs aux facteurs de nécrose tumorale</term></keywords><keywords scheme="MESH" qualifier="économie" xml:lang="fr"><term>Pancréatectomie</term><term>Transplantation d'ilots de Langerhans</term></keywords><keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Complications postopératoires</term><term>Diabète de type 1</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Child</term><term>Etanercept</term><term>Humans</term><term>National Institute of Diabetes and Digestive and Kidney Diseases (U.S.)</term><term>Patient Selection</term><term>Quality Improvement</term><term>Quality of Life</term><term>Registries</term><term>Research</term><term>United States Food and Drug Administration</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte</term><term>Amélioration de la qualité</term><term>Complications postopératoires</term><term>Diabète de type 1</term><term>Enfant</term><term>Enregistrements</term><term>Food and Drug Administration (USA)</term><term>Humains</term><term>National Institute of Diabetes and Digestive and Kidney Diseases (USA)</term><term>Pancréatectomie</term><term>Pancréatite chronique</term><term>Qualité de vie</term><term>Recherche</term><term>Sélection de patients</term><term>Transplantation d'ilots de Langerhans</term><term>Étanercept</term><term>États-Unis d'Amérique</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A workshop sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases focused on research gaps and opportunities in total pancreatectomy with islet autotransplantation (TPIAT) for the management of chronic pancreatitis (CP). The session was held on July 23, 2014, and structured into 5 sessions: (1) patient selection, indications, and timing; (2) technical aspects of TPIAT; (3) improving success of islet autotransplantation; (4) improving outcomes after total pancreatectomy; and (5) registry considerations for TPIAT. The current state of knowledge was reviewed; knowledge gaps and research needs were specifically highlighted. Common themes included the need to identify which patients best benefit from and when to intervene with TPIAT, current limitations of the surgical procedure, diabetes remission and the potential for improvement, opportunities to better address pain remission, gastrointestinal complications in this population, and unique features of children with CP considered for TPIAT. The need for a multicenter patient registry that specifically addresses the complexities of CP and total pancreatectomy outcomes as well as postsurgical diabetes outcomes was repeatedly emphasized.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Pennsylvanie</li></region></list><tree><noCountry><name sortKey="Andersen, Dana K" sort="Andersen, Dana K" uniqKey="Andersen D" first="Dana K" last="Andersen">Dana K. Andersen</name><name sortKey="Arreaza Rubin, Guillermo" sort="Arreaza Rubin, Guillermo" uniqKey="Arreaza Rubin G" first="Guillermo" last="Arreaza-Rubin">Guillermo Arreaza-Rubin</name><name sortKey="Dunn, Ty B" sort="Dunn, Ty B" uniqKey="Dunn T" first="Ty B" last="Dunn">Ty B. Dunn</name><name sortKey="Gelrud, Andres" sort="Gelrud, Andres" uniqKey="Gelrud A" first="Andres" last="Gelrud">Andres Gelrud</name><name sortKey="Humar, Abhinav" sort="Humar, Abhinav" uniqKey="Humar A" first="Abhinav" last="Humar">Abhinav Humar</name><name sortKey="Morgan, Katherine A" sort="Morgan, Katherine A" uniqKey="Morgan K" first="Katherine A" last="Morgan">Katherine A. Morgan</name><name sortKey="Naziruddin, Bashoo" sort="Naziruddin, Bashoo" uniqKey="Naziruddin B" first="Bashoo" last="Naziruddin">Bashoo Naziruddin</name><name sortKey="Rastellini, Cristiana" sort="Rastellini, Cristiana" uniqKey="Rastellini C" first="Cristiana" last="Rastellini">Cristiana Rastellini</name><name sortKey="Rickels, Michael R" sort="Rickels, Michael R" uniqKey="Rickels M" first="Michael R" last="Rickels">Michael R. Rickels</name><name sortKey="Schwarzenberg, Sarah J" sort="Schwarzenberg, Sarah J" uniqKey="Schwarzenberg S" first="Sarah J" last="Schwarzenberg">Sarah J. Schwarzenberg</name></noCountry><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Bellin, Melena D" sort="Bellin, Melena D" uniqKey="Bellin M" first="Melena D" last="Bellin">Melena D. Bellin</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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