Abstract
【Objective】The wide gap between the number of patients on the waiting list for pancreas transplantation and the insufficient number of organ donors results in the use of “critical" donors, so-called marginal or extended criteria donors (ECD).
【Methods】Thirty six pancreas transplantations from brain-dead donors were performed in our institute from 2001 to 2014. They were evaluated for the conventional criteria concerning ECD previously advocated and new criteria that we have recently proposed.
【Results】According to conventional criteria, most brain-dead donors were excluded from the application of a pancreas transplantation; however, they actually developed excellent primary organ functions.
【Conclusion】It appears that conventional criteria for ECD are too restrictive and that our criteria fit into the reality of Japan.
