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De Roover A, Detry O, Coimbra C, Bonvoisin C, Beaujean MA, Krzesinski JM, Paquot N, Scheen AJ, Honoré P, Meurisse M. [Pancreas transplantation in the management of diabetes]. Rev Med Liege 2005; 60:350-4. [PMID: 16035293] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Pancreas transplantation has now become an established option in the treatment of diabetic complications. It normalizes glucose metabolism, prevents, stabilizes and improves the evolution of diabetes-associated lesions. Improvements in surgical procedure and in immunosuppression have better defined its indications. Combined kidney-pancreas transplantation appears today as the best treatment for the diabetic patient with end stage renal disease. Isolated pancreas transplantation is reserved to non-uremic patients with severe diabetic complications or with hyperlabile glycaemic control and severe impairment of quality of life.
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Affiliation(s)
- A De Roover
- Service de Chirurgie abdominale, endocrine et transplantation, Nutrition et Maladies métaboliques, CHU Sart Tilman, Liège
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De Roover A, Detry O, Hamoir E, Defechereux T, Beaujean MA, Bonnet P, Honoré P, Meurisse M, Jacquet N. [Update on pancreatic transplantation]. Rev Med Liege 2001; 56:557-62. [PMID: 11584440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/21/2023]
Abstract
Pancreas transplantation significantly improves the quality of life as well as the survival of the diabetic patient. It is also associated with stabilization and reversal of secondary diabetic complications. Improvements in organ preservation, surgical techniques and immunosuppression have achieved one-year graft survival of more than 90% for combined kidney-pancreas transplant and 80% for isolated pancreas transplantation. Recipient evaluation must weigh the benefits of the procedure with the risk associated with surgery and chronic immunosuppression. Combined kidney-pancreas transplantation appears today as the best treatment for the diabetic patient with end stage renal disease. Isolated pancreas transplantation is reserved to non-uremic patients with severe diabetic complications or with brittle glycaemic control and severe impairment of quality of life.
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Detroz B, Honoré P, Monami B, Dewandre JM, Defraigne JO, Pirotte J, Beaujean MA, Meurisse M, Jacquet N. [Hepatorenal syndrome]. Rev Med Liege 1991; 46:188-95. [PMID: 2052812] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- B Detroz
- Service de Chirurgie digestive et Transplantation, Université de Liège
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Abstract
Between January 1985 and December 1988, 20 patients over the age of 55 years (extremes 56-63 years; 15 men and 5 women) underwent cardiac transplantation. The cause of cardiopathy was ischemic in 70% of the cases. The immunosuppressive regimen consisted of cyclosporin A, corticoids, and azathioprine. Rejection episodes were monitored by endomyocardial biopsies and treated by pulses of corticoids or monoclonal antibodies (OKT3). The operative mortality was 10% (n = 2). The 1-year survival rate was 70%. The 1-year incidence of infection and/or rejection episodes was 1 and 1.53 episodes/patient, respectively. One patient was successfully retransplanted after 9 months because of intractable rejection. Age beyond 55 years is no longer a contraindication to cardiac transplantation. This change in recipient selection policy should lead to parallel changes in donor selection criteria.
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Affiliation(s)
- J O Defraigne
- Department of Surgery, C.H.U. Liège, Sart-Tilman, Belgium
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Meurisse M, Defraigne JO, Defêchereux T, Pirenne J, Bonnet P, Canivet JL, Honoré P, Gérard J, Delbouille MH, Beaujean MA. [Early diagnosis of pancreatic allograft rejection: the value of urinary amylase determination]. Rev Med Liege 1989; 44:388-95. [PMID: 2473512] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Meurisse M, Albert A, Defraigne JO, Bonnet P, Honore P, Pirenne J, Henrivaux P, Mahieu P, Beaujean MA, Lejeune G. Derivation of an algorithm for optimal initial cyclosporine immunotherapy in kidney transplantation. Transplant Proc 1988; 20:45-51. [PMID: 3051589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- M Meurisse
- School of Medicine, University of Liege, Belgium
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Meurisse M, Beaujean MA, Mahieu P, Honoré P, Defraigne JO, Bonnet P, Henrivaux P, Weerts J, Jacquet N, Lejeune G. [Pancreatic transplantation in 1986]. Rev Med Liege 1987; 42:606-15. [PMID: 3303261] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Andrianne R, Beaujean MA, de Leval J. [Current approaches to the exploration of organic erectile impotence]. Rev Med Liege 1987; 42:459-64. [PMID: 3616298] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Meurisse M, Beaujean MA, Honoré P, Creemers E, Defraigne JO, Bonnet P, Larbuisson R, Stockman D, Tihange E, Henrivaux P. [Combined kidney-pancreas graft in terminal diabetic nephropathy. Report on the first transplantation performed at the University of Liège]. Rev Med Liege 1986; 41:855-63. [PMID: 3541115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Beaujean MA, Bouillenne C, Mahieu P. [The HLA system and renal transplantation]. Rev Med Liege 1983; 38:133-5. [PMID: 6342087] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Beaujean MA. [Why does a limb "fall asleep'?]. Rev Med Liege 1982; 37:323-32. [PMID: 6285441] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
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Beaujean MA, Bodson L. [Acral ischemia (Raynaud's phenomenon) in nervous system and vascular compression-stretching syndromes in the thoracic outlet syndrome]. Rev Med Liege 1980; 35:645-650. [PMID: 7455447] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
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Bovy P, Beaujean MA, Rorive G. [Acute renal insufficiency secondary to the use of glaphenine]. Rev Med Liege 1980; 35:454-9. [PMID: 6109367] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/18/2023]
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Beaujean MA. [Surgical aspects of the alteration, preservation and restoration of sexual function in males]. Rev Med Liege 1979; 34:727-43. [PMID: 388578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
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Beaujean MA, Janvier C, Lamy M, Honoré D. [Traumatic subcutaneous ruptures of the cervical trachea (author's transl)]. Acta Chir Belg 1978; 77:207-16. [PMID: 706957] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Abstract
Traumatic subcutaneous rupture of the cervical trachea is a rare but serious lesion that may cause death of the patient. Few cases come to treatment. This lesion results from a contusion to the anterior neck during hyperextension. It consists in a straight transection between larynx and trachea or between one of the 4 first tracheal rings, and is usually associated to multiple trauma involving the chest and head. Specific symptoms are often blurred by those of the associated lesions making diagnosis complex. This should ideally be confirmed by endoscopy or, if not feasable by cervicotomy. Emergency treatment is directed to restablishment of an adequate ventilation. Direct anastomosis by separate resorbable sutures yields excellent long-term results without stenosis. Creation of a transitory tracheotomy, when commanded by regional atresion, sometimes induces late stenosis; secondary repair is then less favorable. The rate of definitive recurrent nerve paralysis is high. There are also frequent distortions of the vocal cords with modifications of the voice and transitory palsy of the phrenic nerve. The authors draw these conclusions from one personal case and from the literature.
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Beaujean MA, Muller M, Daubresse JC, Luyckx AS, Sodoyez JC, Van Cauwenberge H. [What the physician should know about lactic acidosis and biguanides]. Brux Med 1978; 58:191-8. [PMID: 647426] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Beaujean MA, Bouillenne C. Glomerulonephritis due to transplant rejection affecting a patient's own kidneys. Clin Nephrol 1977; 8:487-90. [PMID: 338225] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/14/2022] Open
Abstract
The kidneys of a patient were removed 3 months after a cadaveric allograft; histological examination revealed tuberculosis and malignant nephroangiosclerosis. When examined one year later, the graft exhibited lesions of glomerulonephritis and of vascular rejection. Immunoglobulin deposits were shown by immunofluorescence in the patient's own kidneys as well as in the graft; they were isolated by acid elution and in both cases had lymphocytotoxic activity in vitro. It is suggested that the target organ released histocompatibility antigen with formation of antigen antibody complexes which deposited in the patient's own kidneys.
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Rorive G, Beaujean MA. [Diet of patients treated by iterative hemodialysis]. Rev Med Liege 1976; 31:754-9. [PMID: 1005981] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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