Evidence map›Paper›PMID 31409133›Full record

SynthesisJournal of diabetes science and technology2020

Ex situ Perfusion of Pancreas for Whole-Organ Transplantation: Is it Safe and Feasible? A Systematic Review.

Thomas Prudhomme, Delphine Kervella, Stéphanie Le Bas-Bernardet, Diego Cantarovich, Georges Karam, Gilles Blancho, Julien Branchereau

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Journal of diabetes science and technology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Thomas PrudhommeCentre de Recherche en Transplantation et Immunologie UMR 1064, INSERM, Université de Nantes, France.ORCID 0000-0003-3601-9339
Delphine KervellaCentre de Recherche en Transplantation et Immunologie UMR 1064, INSERM, Université de Nantes, France.
Stéphanie Le Bas-BernardetCentre de Recherche en Transplantation et Immunologie UMR 1064, INSERM, Université de Nantes, France.
Diego CantarovichInstitut de Transplantation Urologie Néphrologie (ITUN), CHU Nantes, France.
Georges KaramInstitut de Transplantation Urologie Néphrologie (ITUN), CHU Nantes, France.
Gilles BlanchoCentre de Recherche en Transplantation et Immunologie UMR 1064, INSERM, Université de Nantes, France.
Julien BranchereauCentre de Recherche en Transplantation et Immunologie UMR 1064, INSERM, Université de Nantes, France.
Inserm · FRInstitut de Transplantation Urologie en Nephrologie · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPancreas transplantation is currently one of the best treatments proposed in highly selected patients with unstable and brittle type 1 diabetes. The objective of pancreas transplantation is to restore normoglycemia and avoid the occurrence of complications associated with diabetes. Graft pancreatitis and thrombosis, arising from ischemia reperfusion injuries, are major causes of graft loss in the postoperative period. Ex situ perfusion, in hypothermic or normothermic settings, allowed to improve ischemic reperfusion injury in other organ transplantations (kidney, liver, or lung). The development of pancreatic graft perfusion techniques would limit these ischemic reperfusion injuries.

objectiveEvaluation of the safety and feasibility of ex situ perfusion of pancreas for whole-organ transplantation.

methodsEnglish literature about pancreas perfusion was analyzed using electronic database Medline via PubMed (1950-2018). Exclusion criteria were studies that did not specify the technical aspects of machine perfusion and studies focused only on pancreas perfusion for islet isolation.

resultsHypothermic machine perfusion for pancreas preservation has been evaluated in nine studies and normothermic machine perfusion in ten studies. We evaluated machine perfusion model, types of experimental model, anatomy, perfusion parameters, flushing and perfusion solution, length of perfusion, and comparison between static cold storage and perfusion.

conclusionsThis review compared ex vivo machine perfusion of experimental pancreas for whole-organ transplantation. Pancreas perfusion is feasible and could be a helpful tool to evaluate pancreas prior to transplantation. Pancreas perfusion (in hypothermic or normothermic settings) could reduce ischemic reperfusion injuries, and maybe could avoid pancreas thrombosis and reduce morbidity of pancreas transplantation.

Indexed as

PancreasFeasibility StudiesHumansPancreas TransplantationPerfusionex situ pancreas perfusionhypothermic pancreas perfusionnormothermic pancreas perfusionpancreas perfusionpancreas preservation

Identifiers

PMID31409133
PMCPMC7189158
OpenAlexW2967794407

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.