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Pancreas Transplant

    About the Treatment

    It is heterotopic transplant i.e. the organ is transplanted at a different location than the usual position of the organ. Pancreas received from the cadaver (brain dead donor), or part of the pancreas from a living donor is placed in the recipient's abdomen at a different location.

    Indications

    • Insulin dependent diabetes

A complete body check-up which includes:

  • Physical exam
  • Chest x-ray
  • Complete medical and surgical history
  • Electrocardiogram (EKG or ECG)
  • Ultrasound with Doppler examination
  • Blood tests
  • Blood typing
  • Pulmonary function test
  • Upper gastrointestinal (GI) series
  • Lower GI series
  • Renal function studies
  • Tissue typing
  • Panel reactive antibody (PRA)
  • Viral testing
  • Mammogram
  • Pap smear
  • Echocardiogram
  • Dental evaluations
  • Other tests
  • Kidney function test
    1. Creatinine
    2. Blood urea nitrogen
  • Blood electrolytes
  • USG abdomen/ CT Scan/ MRI
  • Kidney biopsy
  • After the general anesthesia, the surgical team will give an incision on the lower side of the abdomen. The donor's pancreas will be placed in the recipients' abdomen at a new location. Patient's pancreas is left in place as such. The surgery will take at least 5 to 8 hours depending on the patient condition and donor organ condition. A drain line will be put in the abdomen to remove the excess fluid.

  • The patient will be required to stay for 7 to 10 days in the hospital.
  • These following should be occasionally checked:
    • Immunosuppressant medication levels
    • Creatinine levels
    • White blood cell (WBC) levels

  • Bleeding
  • Infection
  • Suture line between the duodenum and bladder might heal poorly
  • Thrombosis (clotting) of the blood vessels of the pancreas
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