Late complications of pancreas transplant

Table 1 Recommended approaches for cytomegalovirus prevention for adult pancreas transplant

Serostatus	Risk level	Recommended	Alternate
D-/R-	Low	Monitoring for clinical symptoms; consider antiviral prophylaxis against other herpes infections	Preemptive therapy (if higher risk, i.e. significant transfusions)
D+/R-	High	3-6 mo of VGCV	Preemptive therapy
R+	Intermediate	3 mo of VGCV or preemptive therapy

When a range is given, the duration of prophylaxis may depend on degree of immunosuppression, including the use of antilymphocyte antibodies for induction[28]. VGC: Valganclycovir.