Pancreas and Islet Cell Transplantation

Pancreas transplant is primarily indicated for type 1 diabetes and select cases of type 2 diabetes. The types of transplants are simultaneous pancreas-kidney transplants, pancreas after kidney transplant, and pancreas transplant alone (PTA). Islet autotransplant (IAT) is recommended after total pancreatectomy for benign diseases and trauma. One-third of adults become insulin-free after IAT, and in a significant number, the quality of life and glycemic control improve. Results of IAT in the pediatric subgroup are better than in adults.