Combined Liver, Pancreas-Duodenum, and Kidney Transplantation for Patients with Hepatitis B Cirrhosis, Uremia, and Insulin-Dependent Diabetes

15 March 2022 : Case report

Xitao Hong

^123ABCDEF, Zhitao Chen^123ABCDE, Yiwen Guo^123BCDE, Yuqi Dong^123BC, Xiaoshun He^123AEF*, Maogen Chen^123AEFG, Weiqiang Ju^123ADEFG

DOI: 10.12659/AOT.935860

Ann Transplant 2022; 27:e935860

Background Case Report Discussion Conclusions References

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Table 3 Multiorgan liver-pancreas-kidney transplantation.

Ref.	Grafts	Immunosuppressive program	Complication	Graft function recovery time			Follow-up time
Ref.	Grafts	Immunosuppressive program	Complication	Liver	Kidney	Pancrea	Follow-up time
Jiang Li et al, 2017	LiverDuodenopancreasKidney	Basiliximab, tacrolimus, mycophenolate mofetil, and steroids	Non	15 days	15 days	3 weeks	3 weeks
Tzakis AG et al, 2015	LiverPancreasKidney	Tacrolimus and steroids	All three transplanted organs acute rejection	2 months	2 months	2 months	18 months
Rivera E et al, 2016	LiverPancreasKidney	Thymoglobulin, tacrolimus, mycophenolate mofetil, and steroids	Liver and pancreas acute rejection	NA	45 days	NA	18 months
Zhang G et al, 2020	LiverDuodenopancreasKidney	rabbit anti-human thymocyte immunoglobulin (ATG), FK506, mycophenolate mofetil (MMF), prednisone acetate (Pred)	Transplant again for the kidney acute rejection	7 days	20 days	7 days	14 years
Luis A et al, 2017	LiverPancreasKidney	Tacrolimus, mycophenolate mofetil, prednisolone	Non	NA	NA	NA	NA
NA – not applicable.

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