{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T10:08:11Z","timestamp":1761646091957,"version":"3.40.5"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,2,12]],"date-time":"2020-02-12T00:00:00Z","timestamp":1581465600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Hepato Biliary Pancreat"],"published-print":{"date-parts":[[2020,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The combined use of interleukin\u20101\u03b2 and tumor necrosis factor\u2013\u03b1 blockers in the peritransplant period has improved outcomes of total pancreatectomy with islet autotransplantation (TPIAT). However, these drugs may suppress the immune system, resulting in severe infection.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively investigated the impact of microbial\u2010contaminated islet product on posttransplant complications and metabolic outcomes of TPIAT patients receiving the IL\u20101\u03b2 and TNF\u2010blockade treatment at our center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among 108 TPIAT patients, 37 patients (34%) received contaminated products. Preoperative stent treatment and fibrosis score were independent risk factors for the contamination. There were no significant differences between the contaminated and noncontaminated product groups in posttransplant infectious complication rate, length of hospitalization, or readmission rate. However, islet equivalents (<jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.0001) and insulin independence rate (<jats:italic>P<\/jats:italic>\u00a0=\u00a0.036) at 6\u00a0months were significantly lower for patients receiving contaminated product.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These results suggest that combined anti\u2010inflammatory drug use is safe and well tolerated in TPIAT patients who receive contaminated islet product and does not increase the rate of infectious complications; however, contaminated islet product is associated with poor metabolic outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jhbp.709","type":"journal-article","created":{"date-parts":[[2020,1,16]],"date-time":"2020-01-16T08:15:15Z","timestamp":1579162515000},"page":"211-218","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Impact of microbial contamination of the islet product during total pancreatectomy with islet autotransplantation"],"prefix":"10.1002","volume":"27","author":[{"given":"Kenjiro","family":"Kumano","sequence":"first","affiliation":[{"name":"Baylor Scott and White Research Institute Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morihito","family":"Takita","sequence":"additional","affiliation":[{"name":"Baylor Scott and White Research Institute Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Srividya","family":"Vasu","sequence":"additional","affiliation":[{"name":"Baylor Scott and White Research Institute Dallas TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carly","family":"Darden","sequence":"additional","affiliation":[{"name":"Baylor University Waco TX USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Lawrence","sequence":"additional","affiliation":[{"name":"Baylor Scott and White Research Institute Dallas TX 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