Pancreas Patient Selection Criteria

Indications

1. Group I: Insulin-dependent Diabetes Mellitus Type I (JODM) with secondary complications but no renal or early renal involvement. Early pancreatic transplantation may be indicated for those who cannot be adequately controlled with insulin and/or with chronic complications of diabetes likely to be impacted by a pancreas transplant
2. Group II: Insulin-dependent Diabetes Mellitus Type I with secondary complications and renal involvement in the absence of morbid obesity. Synchronous pancreatic and renal transplantation may be indicated
3. Group III: Type I or Type II insulin-dependent diabetes mellitus with secondary complications, end-stage renal disease and previous renal transplant. Asynchronous pancreatic transplantation may be indicated

Contraindications

1. Absolute:
   • a. Chemical dependency, including illegal narcotic usage, not consistent with screening criteria in Substance Abuse Addendum
   • b. Active sepsis
   • c. End-stage organ dysfunction:
     • i. Pulmonary
     • ii. Cardiac
     • iii. Cerebrovascular
     • iv. Hematological
   • d. Inability to understand the transplant procedure and care for self after receiving a new organ
   • e. Uncontrolled malignancy
2. Relative:
   • a. BMI >35
   • b. Non-compliance