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1 y-pancreas transplant, 53% received a kidney-pancreas transplant.
2 mpared with receiving neither a kidney nor a pancreas transplant.
3 ving related kidney transplant followed by a pancreas transplant.
4 safely in patients who have lost their first pancreas transplant.
5 on dialysis, and 1 had a combined kidney and pancreas transplant.
6 ch were diagnosed at 5.5 and 42 months after pancreas transplant.
7 ignificant morbidity after kidney and kidney-pancreas transplant.
8 ive recipients of seropositive kidney and/or pancreas transplants.
9                 TFs remain significant after pancreas transplants.
10 15, for studies reporting the outcome of DCD pancreas transplants.
11  1518), and 11 to 33 (n = 1377) for solitary pancreas transplants.
12 nd a high rate of graft survival in solitary pancreas transplants.
13 e from the time of the kidney as well as the pancreas transplants.
14 ssociated with the increased success rate of pancreas transplants.
15  studied 240 recipients of liver, kidney, or pancreas transplants.
16 CI, 0.62-2.78; P = 0.47) between DCD and DBD pancreas transplants.
17 ecrease in the surgical risk associated with pancreas transplants.
18 e of graft failure in technically successful pancreas transplants.
19 ver, 12 single and 14 bilateral lung, and 12 pancreas transplants.
20 ansplants, and two were recipients of kidney-pancreas transplants.
21 transplants, most liver transplants, and all pancreas transplants.
22 ge in the interpretation of outcome data for pancreas transplants.
23 ecipient survival for recipients of solitary pancreas transplants.
24 ol duodenal graft biopsies in 27 consecutive pancreas transplants (10 simultaneous pancreas kidney [S
25  March 31, 2000, the authors performed 1,194 pancreas transplants (111 from living donors; 191 retran
26 ncreas-kidney transplant, 79,198 life-years; pancreas transplant, 14,903 life-years; and intestine tr
27                      We performed a total 28 pancreas transplants (17 simultaneous kidney-pancreas tr
28 occurred in 41 patients with bladder-drained pancreas transplants (25 SPK, 14 pancrease after kidney
29                            Sixty consecutive pancreas transplants (30 simultaneous pancreas-kidney, 2
30    Retrospective analysis of 509 consecutive pancreas transplants (442 simultaneous pancreas and kidn
31 Among those who were waitlisted for a kidney-pancreas transplant, 53% received a kidney-pancreas tran
32  in 441 consecutive cadaver, bladder-drained pancreas transplants (54% simultaneous pancreas and kidn
33               Of those who received a kidney-pancreas transplant, 87% patients underwent SPKT and 13%
34 a 27-year-old female who underwent cadaveric pancreas transplant 9 months after a successful live don
35 pients with enteric-drained or duct-injected pancreas transplants, a laparoscopic or open biopsy shou
36 20 pancreas transplanted alone [PTA], and 47 pancreas transplanted after kidney [PAK]), performed at
37 ter than pancreas after kidney transplant or pancreas transplant alone (11.2 vs. 2.5 years).
38 1), pancreas after kidney (PAK) (n=389), and pancreas transplant alone (PTA) (n=204).
39 7), pancreas after kidney (PAK) (n=399), and pancreas transplant alone (PTA) (n=211).
40          Solitary pancreas transplants, both pancreas transplant alone (PTA) and pancreas after kidne
41                                              Pancreas transplant alone (PTA) has become accepted ther
42                              Recipients of a pancreas transplant alone (PTA) have varying levels of k
43                                            A pancreas transplant alone (PTA) in a nonuremic patient w
44 ts with end-stage renal disease, the role of pancreas transplant alone (PTA) in the therapy of T1D su
45                                              Pancreas transplant alone (PTA) is a controversial proce
46       Results were compared with outcomes in pancreas transplant alone (PTA) recipients reported to t
47  pancreas after kidney transplant (PAK), and pancreas transplant alone (PTA).
48 idney (SPK), pancreas after kidney (PAK) and pancreas transplant alone (PTA).
49 as after kidney transplantation [PAK], and 6 pancreas transplant alone [PTA]) between November 2006 a
50 ease after kidney transplants [PAK], amd two pancreas transplant alone [PTA]).
51  [SPK]; 22% pancreas after kidney [PAK]; 24% pancreas transplant alone [PTA]; 37% retransplant).
52 eas-kidney (SPK) and 4308 solitary pancreas (pancreas transplant alone and pancreas after kidney) tra
53 is indication may be about to match those of pancreas transplant alone in insulin independence.
54                                              Pancreas transplant alone is utilized rarely in diabetic
55 ic drainage, particularly in patients with a pancreas transplant alone or a pancreas after kidney tra
56 ation in native kidneys and urinary tract of pancreas transplant alone patients is not uncommon.
57  pancreas-kidney, pancreas after kidney, and pancreas transplant alone recipients was 2.5%, 1.2%, and
58 PKs over pancreas after kidney transplant or pancreas transplant alone to limit the loss of precious
59                   Thirty-eight recipients of pancreas transplant alone were evaluated for evidence of
60 nt, 42% pancreas after kidney transplant, 8% pancreas transplant alone) were biopsied.
61 idence interval [CI], 0.98-2.53; P =.06) for pancreas transplant alone, 1.42 (95% CI, 1.03-1.94; P =.
62  underwent simultaneous kidney and pancreas, pancreas transplant alone, and pancreas after kidney bet
63 year survival rates were 96.5% and 85.2% for pancreas transplant alone, respectively, and 95.3% and 8
64 on the waiting list were 97.6% and 92.1% for pancreas transplant alone, respectively, and 97.1% and 8
65 reas kidney transplantation, and the third a pancreas transplant alone.
66 2 simultaneous pancreas and kidney [SPK], 20 pancreas transplanted alone [PTA], and 47 pancreas trans
67 had SPK transplants without BM, 14 (17%) had pancreas transplants alone (PTA), and 7 (9%) had pancrea
68 reas after kidney (PAK) transplants; and 291 pancreas transplants alone (PTA).
69       Only sequential kidney and pancreas or pancreas transplants alone from live donors had been don
70  pancreas-after-kidney transplants and seven pancreas transplants alone were performed without consid
71 , 13 pancreas after kidney transplants and 4 pancreas transplants alone were performed.
72 n type I patients and did not differ between pancreas transplant and control groups.
73 eatinine levels>1.5 mg/dl at the time of the pancreas transplant and recipient age<30 years.
74  of gene expression with clinical outcome of pancreas transplants and justifies further studies in an
75 kidney transplant, one a simultaneous kidney-pancreas transplant, and the third a living related kidn
76 nce, waitlisted for kidney-alone (vs. kidney-pancreas) transplant, and higher body mass index (longer
77 ategories, and outcomes of patients having a pancreas transplant are discussed, particularly with ref
78                  We conclude that successful pancreas transplants are efficacious for periods as long
79                          Whole and segmental pancreas transplants are now successful for up to two de
80                                              Pancreas transplants are rarely done in type 2 (noninsul
81 s of 1014 patients undergoing deceased donor pancreas transplant at a single center.
82 factors, and outcomes of CMV infection after pancreas transplant at our center from January 1, 1998,
83 ther a living, cadaveric, or combined kidney-pancreas transplant at our center, and four cases of all
84 (53 men, 29 women) with bladder-drained (BD) pancreas transplants, at 1 to 80 (median, 14) months aft
85 nts at our center who received kidney and/or pancreas transplants between January 2000 and April 2003
86         Data from 232 percutaneous US-guided pancreas transplant biopsies performed in 88 patients we
87 We retrospectively reviewed all laparoscopic pancreas transplant biopsies performed over a 15-month p
88  individual renal transplant biopsies and 19 pancreas transplant biopsies were assayed for expression
89                                              Pancreas transplant biopsies were taken within approxima
90                                 Laparoscopic pancreas transplant biopsy allows safe visualization of
91 pancreas-specific genes were evaluated in 26 pancreas transplant biopsy specimens by quantitative rea
92 rmed a pilot feasibility study of mRNA-based pancreas transplant biopsy stratification.
93                                     Solitary pancreas transplants, both pancreas transplant alone (PT
94 ne (DD KA), not because of the addition of a pancreas transplant but because of differences in organ
95 A in patients undergoing simultaneous kidney-pancreas transplant by evaluating the functional recover
96                                        While pancreas transplant can be complicated by early graft lo
97 lants for suitable candidates, but currently pancreas transplants can be applied and should be an opt
98 are, unless accepted for a local whole organ pancreas transplant candidate, preferentially allocated
99 rofiles in type 1 diabetes patients who were pancreas transplant candidates to prospectively evaluate
100 ymptomatic type 1 and 2 DM kidney and kidney-pancreas transplant candidates.
101  the transplant patient registry of a kidney-pancreas transplant center between 1984 and 2012.
102 /United Network for Organ Sharing Kidney and Pancreas Transplant Committee retrospectively analyzed t
103                We hypothesized that solitary pancreas transplants could be performed successfully eve
104  the United Network for Organ Sharing kidney/pancreas transplant database investigates factors at the
105 er KTX (DM1-K; n=14), or type 1 after kidney-pancreas transplant (DM1-KP; n=22).
106 comes of primary versus retransplant for all pancreas transplants done in our program over nearly 35
107                             We genotyped 435 pancreas transplant donors and 431 recipients who had un
108       We studied the outcome of 225 solitary pancreas transplants during three immunosuppressive eras
109  US findings, are associated with subsequent pancreas transplant failure.
110                            The timing of the pancreas transplant for PAK recipients does not seem to
111 diabetic complications requiring whole organ pancreas transplant for salvage.
112   Eventually, islet transplants will replace pancreas transplants for suitable candidates, but curren
113           Here, CEUS studies are extended to pancreas transplants for the first time.
114 mpatible, five HLA antigen-mismatched kidney-pancreas transplant from a 17-year-old African-American
115 ansplantation Network Registry on kidney and pancreas transplants from January 1988 to December 1996,
116                        Sequential kidney and pancreas transplants from LDs have been done, but until
117             Previously, we demonstrated that pancreas transplants from the diabetes resistant BB rat
118 results improve and as isolated (PAK or PTA) pancreas transplants gain in popularity, CR will become
119                         Host factors (age at pancreas transplant, gender, body weight, glomerular fil
120 subjects receiving either a kidney or kidney-pancreas transplant generally have indicated no differen
121                                     The mean pancreas transplant graft and patient survival rates for
122 ormation exists about the effect of dnDSA on pancreas transplant graft survival.
123        The data were compared between normal pancreas transplants, grafts undergoing rejection, and g
124                             Since the 1980s, pancreas transplant has become the most effective treatm
125 al venous drainage, especially with solitary pancreas transplants, has yet to be determined.
126                                   Numbers of pancreas transplants have been decreasing over the past
127                      Traditionally, solitary pancreas transplants have been performed using systemic
128     As of December 31, 1996, a total of 9012 pancreas transplants have been reported to the Internati
129   Compared with other abdominal transplants, pancreas transplants have historically had the highest i
130 re instances with complete thrombosis of the pancreas transplant in absence of clinical manifestation
131 slet mass comparable with whole or segmental pancreas transplants in type 1 diabetic patients can res
132 ow-risk DCD pancreases, as the number of DCD pancreas transplants increase and the threshold for reje
133                                 Living donor pancreas transplant is a potential treatment for diabeti
134                                              Pancreas transplant is most commonly performed along wit
135 ncreas after kidney transplant, in which the pancreas transplant is performed some years after renal
136 e kidney transplant before proceeding with a pancreas transplant is unclear.
137 t of isolated splenic vein thrombosis in the pancreas transplant is unknown.
138 f graft failure after technically successful pancreas transplants is rejection.
139 erature on the behavior of cystic lesions in pancreas transplants is scarce, and hence a better under
140       One approach to increase the number of pancreas transplants is to share organs between procurem
141 PALK, n=389), preemptive LDK not receiving a pancreas transplant (LDK/noP, n=289), preemptive DDK (n=
142                       Living donor segmental pancreas transplants (LDSPTx) have been performed select
143                                 For solitary pancreas transplants, low, but not medium, center volume
144                                          All pancreas transplants (n=124) performed in the previous 3
145                               A total of 151 pancreas transplant needle biopsy specimens from 57 pati
146  We conclude that the beneficial effect of a pancreas transplant on the prevalence and severity of hy
147 ultaneous pancreas-kidney transplant (n=55), pancreas transplant only (n=4), or pancreas after kidney
148 ificantly higher in patients with concurrent pancreas transplants or who were hospitalized with docum
149  in donors after brain death (DBD) donors on pancreas transplant outcome.
150 of previous cardiac arrest in DBD (caDBD) on pancreas transplant outcomes.
151 useful models for reporting program-specific pancreas transplant outcomes.
152 n alone followed by a solitary cadaver-donor pancreas transplant (PAK) have been the transplant optio
153 ng donor kidney followed by a deceased donor pancreas transplant (pancreas after living donor kidney
154 were observed most commonly in kidney and/or pancreas transplant patients (26%), although they were a
155                                              Pancreas transplant patients are free of exogenous insul
156 ntly greater in healthy control subjects and pancreas transplant patients compared with type I subjec
157                                Data from 266 pancreas transplant patients including 182 simultaneous
158     We conclude that HCV infection in kidney-pancreas transplant patients results in a significantly
159  kidney retransplants in simultaneous kidney-pancreas transplant patients who lost their first kidney
160 diagnosed (34 kidney, 14 liver, and 3 kidney-pancreas transplant patients).
161  this study of 263 heart, kidney, liver, and pancreas transplant patients, BK virus (BKV) and JC viru
162 more precisely modulate immunosuppression in pancreas transplant patients.
163 responses to hypoglycemia were normalized in pancreas transplant patients.
164 F for nonsensitized primary kidney or kidney/pancreas transplant patients.
165 nd high-dose insulin infusions were lower in pancreas-transplant patients compared with healthy subje
166                 In the postabsorptive state, pancreas-transplant patients had similar plasma glucose
167                     During hyperinsulinemia, pancreas-transplant patients show a normal inhibition of
168       This was a retrospective review of 345 pancreas transplants performed at a single center betwee
169      We assessed risk factors for TF in 1115 pancreas transplants performed at a single center betwee
170 ucted a retrospective analysis including 342 pancreas transplants performed at our center from 2000 t
171 uthors retrospectively analyzed all solitary pancreas transplants performed at the Mayo Clinic betwee
172      We retrospectively analyzed all cadaver pancreas transplants performed at the University of Minn
173 we reviewed the posttransplant course of all pancreas transplants performed between July 1, 2002 and
174 my, thrombosis, infections, leaks) after 580 pancreas transplants performed during a 12-year period.
175 ective, single-center analysis including all pancreas transplants performed over 9 years evaluating t
176 een problematic as there are three different pancreas transplant procedures that may have different o
177                Monitoring graft survival for pancreas transplant programs has been problematic as the
178 mpared early pancreas graft outcomes at four pancreas transplant programs within the state of Michiga
179 rehensively studied after all three types of pancreas transplant (PT) including simultaneous pancreas
180                   For recipients of solitary pancreas transplants (PTA and PAK), we found no differen
181 h acute antibody-mediated rejection (AMR) in pancreas transplant (PTx) is not well defined.
182 ive recipients of seropositive kidney and/or pancreas transplants received valganciclovir prophylaxis
183 ic syndrome (TTP/HUS) developing in a kidney/pancreas transplant recipient after the initiation of tr
184                                              Pancreas transplant recipient obesity has been associate
185 amined hypoglycemic counterregulation in any pancreas transplant recipient of more than 6 years' dura
186 hropathy in the native kidneys of a solitary-pancreas transplant recipient.
187  of the renal allograft in a combined kidney/pancreas transplant recipient.
188                        This study details 11 pancreas transplant recipients (10 combined kidney and p
189 f 88 pancreas transplants were performed; 20 pancreas transplant recipients (23%) developed grade II
190                Reports of GVHD in kidney and pancreas transplant recipients almost uniformly describe
191                                     Thirteen pancreas transplant recipients and matched control subje
192 ly reported cases of WNV infection in kidney/pancreas transplant recipients and the general populatio
193 rent antibody induction regimens in solitary pancreas transplant recipients and to assess the role of
194           Our findings suggest that dnDSA in pancreas transplant recipients are associated with incre
195                                     Solitary pancreas transplant recipients between 01/98 to 02/00 (n
196                                       Kidney-pancreas transplant recipients can be safely switched to
197 om normal donor kidneys of successful kidney-pancreas transplant recipients during cyclosporine (CSA)
198                             5) Do successful pancreas transplant recipients evince time-dependent dec
199 transplantation remains stable in successful pancreas transplant recipients for up to 19 years after
200  prospectively screened 609 kidney or kidney-pancreas transplant recipients from January 2007 to June
201          However, outcome after pregnancy in pancreas transplant recipients has not been studied in d
202 The long-term outcome of simultaneous kidney pancreas transplant recipients is not well established.
203 oid withdrawal can be safely accomplished in pancreas transplant recipients maintained on tacrolimus-
204 ew three cases of enterocutaneous fistula in pancreas transplant recipients managed nonoperatively wi
205       Group 2A consisted of seven successful pancreas transplant recipients of 5 to 11 years' duratio
206 ains a concern in seronegative kidney and/or pancreas transplant recipients of seropositive organs de
207                                   Thirty-six pancreas transplant recipients received an induction pro
208 ween August 2003 and May 2006, a total of 97 pancreas transplant recipients received steroid-free mai
209               We have analyzed data from all pancreas transplant recipients reported in the Scientifi
210         The results of steroid withdrawal in pancreas transplant recipients under tacrolimus immunosu
211 ty nondiabetic kidney and 30 diabetic kidney-pancreas transplant recipients underwent 24-hr Holter mo
212 ses and symptom recognition in two groups of pancreas transplant recipients using a stepped hypoglyce
213             However, epinephrine response in pancreas transplant recipients was significantly less th
214 nal allograft rejection in kidney and kidney-pancreas transplant recipients was treated with huOKT3ga
215 creening at our center; 785 kidney or kidney-pancreas transplant recipients were included in our stud
216                A case series of 31 cadaveric pancreas transplant recipients who were insulin-independ
217  retrospective cohort analysis of 137 kidney-pancreas transplant recipients who were transplanted bet
218                  We compared the outcomes of pancreas transplant recipients with body mass index (BMI
219 he two most common techniques, CB and PB, in pancreas transplant recipients with presumed rejection.
220 d follow-up biopsies of 20 kidney and kidney-pancreas transplant recipients with PVAN during a time p
221 ucose production (HGP) in 10 type I diabetic pancreas transplant recipients, 10 pair-matched healthy
222 rous rejection episodes in kidney and kidney-pancreas transplant recipients, and in comparison to mur
223                            We identified 541 pancreas transplant recipients, of which 121 developed d
224 transplantation, from 20 simultaneous kidney-pancreas transplant recipients, randomized to receive ei
225 ients, five kidney transplant and two kidney-pancreas transplant recipients, were treated with the mo
226 transplantation, rarely occurs in kidney and pancreas transplant recipients.
227 ee maintenance immunosuppressive protocol in pancreas transplant recipients.
228       This drug combination was evaluated in pancreas transplant recipients.
229 e unusual cases of intestinal obstruction in pancreas transplant recipients.
230  acute rejection have become less common for pancreas transplant recipients.
231 ejection rate in high-risk kidney and kidney-pancreas transplant recipients.
232 7, both MMF and tacrolimus were given to 120 pancreas transplant recipients.
233  recipients, and 18 were combined kidney and pancreas transplant recipients.
234   In conclusion, fasting HGP is increased in pancreas transplant recipients.
235 tive viremia, from 211 kidney and 141 kidney-pancreas transplant recipients.
236 A antibody monitoring in the surveillance of pancreas transplant recipients.
237 uoia ultrasound machine were evaluated in 14 pancreas transplant recipients.
238 f fasting plasma glucose (FPG) maintained in pancreas transplant recipients?
239  5 heart-transplant recipients, 5 kidney and pancreas-transplant recipients, and 2 lung-transplant re
240 ants have been reported to the International Pancreas Transplant Registry (IPTR).
241 nts, using the database of the International Pancreas Transplant Registry.
242                                      Chronic pancreas transplant rejection with enteric exocrine drai
243 blished data exist to guide the treatment of pancreas transplant rejection.
244 reduced exposures to cyclosporine to prevent pancreas-transplant rejection.
245                             The two solitary pancreas transplants required an operating time of 3 and
246 5.7+/-4 days and 9.5+/-8 days for kidney and pancreas transplants, respectively.
247                                As short-term pancreas transplant results improve and as isolated (PAK
248 If PB fails, recipients with bladder-drained pancreas transplants should undergo CB.
249 rt an experience with 71 simultaneous kidney-pancreas transplant (SKPT) recipients receiving daclizum
250 nosuppressive regimen in simultaneous kidney-pancreas transplant (SKPT) recipients.
251 ive agents may allow simultaneous kidney and pancreas transplants (SKPT) to be performed without anti
252 ney transplant (KTx) and simultaneous kidney-pancreas transplant (SPK) recipients, and identified ris
253 tion of kidney (KTx) and simultaneous kidney-pancreas transplant (SPK) recipients.
254 ion in recipients of simultaneous kidney and pancreas transplant (SPK).
255 tom recognition was significantly greater in pancreas transplant subjects than type I patients and di
256 surgery were redefined, and new criteria for pancreas transplant surgery training were developed.
257               Recent improvement in solitary pancreas transplant survival rates has narrowed the adva
258                                 For isolated pancreas transplants, TF is second only to rejection as
259 d the indication for the biopsy, the type of pancreas transplant, the number of needle passes, the si
260                        At 36 months, for all pancreas transplants, the rejection rate was 21% for PV
261 c patients receiving either kidney or kidney-pancreas transplants, the slopes of regression lines gen
262                                 For solitary pancreas transplants, this option historically provided
263 nated 54 consecutive simultaneous kidney and pancreas transplants to either SE (n = 27) or PE (n = 27
264 The magnitude of the epinephrine response in pancreas transplant type I patients did not correlate wi
265   We first built a predictive model for each pancreas transplant type, and then pooled the transplant
266                     Transplant rates for all pancreas transplant types reached a low in 2011 of 34.9
267                                 The National Pancreas Transplant Unit (NPTU) in Sydney provides a ser
268                                       All UK pancreas transplant units were surveyed between 2017 and
269                                       All UK pancreas transplant units were surveyed between 2017-201
270  1 diabetics enrolled on the renal and renal-pancreas transplant waiting list between 10/01/88 and 06
271          The number of new candidates on the pancreas transplant waiting list has decreased steadily
272 ransplantation alone, but the benefit of the pancreas transplant was evident only in bladder-drained
273 ved kidney function and receiving a solitary pancreas transplant was significantly worse compared wit
274 hepatic insulin sensitivity in recipients of pancreas transplants, we devised a staged euglycemic hyp
275 sure undergoing their first kidney or kidney-pancreas transplant were randomized to calcium, calcium
276 y and one recipient of a combined kidney and pancreas transplant were treated at our center for WNV i
277                       Living donor segmental pancreas transplants were associated with higher technic
278                   Between 1994 and 2003, 937 pancreas transplants were performed at our center in the
279 y 1994 and March 1998, during which time 137 pancreas transplants were performed at our center using
280          Two thousand one hundred forty-five pancreas transplants were performed at our institution b
281 h December 2002, 787 pancreas and 569 kidney-pancreas transplants were performed at our institution.
282                    Four hundred thirty-three pancreas transplants were performed at the Oxford Transp
283                                A total of 65 pancreas transplants were performed between July 1, 2002
284                       A total of 914 cadaver pancreas transplants were performed in the following thr
285 Between January 2006 and December 2010, 1009 pancreas transplants were performed in the United Kingdo
286          From July 1994 to January 1999, 177 pancreas transplants were performed, 151 of which were s
287     Between October 2002 and August 2003, 20 pancreas transplants were performed.
288                                A total of 88 pancreas transplants were performed; 20 pancreas transpl
289                Six hundred forty solid organ pancreas transplants were performed; 238 had some form o
290                                          All pancreas transplants were preserved in UW solution.
291                          Three of those four pancreas transplants were subsequently lost.
292 chnical failure (TF) rates remain high after pancreas transplants; while rates have decreased over th
293 tient with renal failure receiving MMF for a pancreas transplant, who presented with signs of MMF tox
294  a cadaveric combined kidney-bladder-drained pancreas transplant with a duodenocystostomy for exocrin
295 30 SPLK procedures, coordinating the cadaver pancreas transplant with simultaneous transplantation of
296  of cases, our results suggest that solitary pancreas transplants with a poor HLA match can be perfor
297                       Since August 1995, 280 pancreas transplants with enteric duct drainage were ana
298 des improved definitions of TCMR and ABMR in pancreas transplants with specification of vascular lesi
299 sulin independence must be achieved--as with pancreas transplants--with a single donor.
300                          US-guided biopsy of pancreas transplants yielded tissue that was adequate mo

 
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