Simultaneous Kidney–Pancreas Transplantation

The prevalence of type 1 diabetes has been increasing in recent years and it has affected the prevalence of ESRD. The simultaneous kidney and pancreas transplantation is the standard treatment for those patients who have diabetes and ESRD disorders at the same time. In this study, we report three patients with diabetes and ESRD.

Case 1: The patient is a 27-year-old woman with diabetes and ESRD. The patient has been treated with insulin and calcitriol and she has undergone hemodialysis for 2 years. Case 2: The patient is a 29-year-old man with diabetes mellitus and ESRD. He was treated with insulin, amlodipine, metoral, calcium, folic acid and nagel. Case 3: The patient is a 33-year-old woman with diabetes and diabetic nephropathy. She has been undergone dialysis for a year and there are reports of angiography and blood transfusions in her medical history. Patients underwent simultaneous pancreas and kidney transplantation.

Although simultaneous kidney and pancreas transplantation has many complications and risks, it is the only effective method for patients with diabetes and ESRD. However, taking precautions regarding immunosuppression, quality of treatment and pre- and post-operative care, and improvement in surgical techniques can contribute to the success of the transplant.