Pancreas Transplantation

  • By admin
  • November 29, 2016
  • Comments Off on Pancreas Transplantation

Spontaneous bacterial peritonitis (SBP) is infection of ascitic fluid without an apparent source. Patients usually are asymptomatic at presentation but may experience fatigue or have symptoms of cholestasis (eg, pruritus, steatorrhea) or cirrhosis (eg, portal hypertension, ascites). Familial transmission occurs but is infrequent. Relative contraindications include age > 55 and significant atherosclerotic cardiovascular disease, defined as a previous MI, coronary artery bypass graft surgery, percutaneous coronary intervention, or a positive stress test; these factors dramatically increase perioperative risk. The advantages of SPK are one-time exposure to induction immunosuppression, potential protection of the newly transplanted kidney from adverse effects of hyperglycemia, and the ability to monitor rejection in the kidney; the kidney is more prone to rejection than the pancreas, where rejection is difficult to detect. We report a case of a young female who presented with signs and symptoms of pseudotumor cerebri and was subsequently diagnosed with IgA nephropathy and end-stage renal disease. Management and treatment of patients with cirrhosis and portal hypertension: recommendations from the Department of Veterans Affairs Hepatitis C Resource Center Program and the National Hepatitis C Program.

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