BSWH Transplant Annual Report 2016 ACHC_639_2017_AnnualReport_JO_PROOF8 | Page 26

ISLET TRANSPLANT One goal motivated the work and dedication of each member of the team to excel — improving every patient’s quality of life. Most patients requiring an islet cell auto transplant have chronic pancreatitis that causes debilitating symptoms and an overall poor quality of life. These patients generally experience severe pain, frequent hospitalizations, nausea and vomiting, chronic diarrhea and weight loss and an escalating dependence on narcotics to address their pain. Islet cell auto transplantation removes the patient’s source of pain — the chronically inflamed pancreas — while preserving the islet cells, which are extracted from the removed organ and re-infused (transplanted) into the patient, where they are taken up into the liver for possible insulin production. “Chronic pancreatitis patients can be challenging both in diagnosis and treatment,” said Ernest Beecherl, MD, director, auto islet cell transplantation. “Our goal is to make the diagnosis as quickly and as precisely as possible 24 and to provide appropriate treatment options, so the patient can overcome their disability by weaning off of their pain medications and re- assimilating into society as a productive citizen.” During 2016, the Baylor Dallas islet cell team performed 18 autologous islet cell transplants, published six manuscripts in peer-reviewed journals and presented 14 abstracts at national scientific meetings. In addition, Baylor Dallas researchers participated in studies ranging from a phase II clinical trial focused on improving islet cell quality and engraftment to a trial studying the efficacy and safety of Reparixin in pancreatic islet auto transplantation. Reparixin is a drug that inhibits the action of IL-8 in order to improve post-transplant outcomes. Because of the number of transplants performed, the Baylor Dallas islet cell transplant program