8:00 AM - 9:00 AM
Pediatric Grand Rounds (CME): Total Pancreatectomy with Islet Autotransplantation in Children
Melena Bellin, MD - University of Minnesota
In this presentation, we will review the indications for total pancreatectomy with islet autoransplant (TPIAT), the procedure of TPIAT, and the outcomes for pain resolution and diabetes after the procedure. Medical management and current research findings will be discussed.
Children who have severe forms of recurrent acute and chronic pancreatitis have limited medical treatment options. When disease is resulting in missed school, opioid dependence, and impaired quality of life, a total pancreatectomy with islet autoransplant (TPIAT) may be considered to relieve pain and improve quality of life. In this procedure the islets are transplanted back into the liver to reduce the severity of post surgical diabetes. In this presentation, we will review the indications for TPIAT, the procedure of TPIAT, and the outcomes for pain resolution and diabetes after the procedure. Medical management and current research findings will be discussed.
Education goals for this session:
- Describe when a TPIAT procedure would be considered for a child with chronic pancreatitis
- Describe the change in functional status and quality of life seen after the procedure
- Know the likelihood of insulin independence after TPIAT
- Understand the potential impact of age on prognosis
Melena Bellin, MD
University of Minnesota Medical Center
Schulze Diabetes Institute
Associate Professor Pediatric Endocrinology
Director of Research,
Islet Autotransplant Program
The Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
The Stanford University School of Medicine designates this live activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Cultural and Linguistic Competency
California Assembly Bill 1195 requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. The planners and speakers of this CME activity have been encouraged to address cultural issues relevant to their topic area. The Stanford University School of Medicine Multicultural Health Portal also contains many useful cultural and linguistic competency tools including culture guides, language access information and pertinent state and federal laws. You are encouraged to visit the portal: http://lane.stanford.edu/portals/cultural.html