Patient follow up and data collection
COMPLICATIONS
Patients were visited by a multidisciplinary team including a nephrologist, the transplant surgeons and a clinical pharmacist on a daily basis for clinical evaluation and immunosuppressive adjustment. The daily renal function tests, blood sugar chart and pancreatic enzymes were meticulously evaluated. An abdominal ultrasound, as well as color Doppler evaluation of the graft vessels, were demanded every other day. Patients were weekly visited by a nephrologist and a transplant surgeon after being discharged from the hospital. Any complications or suspicious rejection were immediately referred to the hospital for further assessment and management. Any suspicious Rejection episode was diagnosed as the following algorithm (Fig. 
The algorithm of diagnosis and management of suspicious rejection episodes among Simultaneous pancreas-kidney Transplant recipients