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Pancreas Transplant

Pancreas transplantation is a surgical procedure in which a diseased pancreas is replaced with a healthy pancreas obtained

Pancreas transplantation is a surgical procedure in which a diseased pancreas is replaced with a healthy pancreas obtained from an compatible cadavear or living donor.

A pancreas transplant is a surgery done to offer a potential cure for type 1 diabetes. This is not considered as a standard treatment for diabetes. Most often, the side effects of a pancreas transplant are considered more serious than the diabetes. If your diabetes treatment plan is working, a pancreas transplant isn't likely a better option. But if your diabetes can't be controlled or you have serious diabetes-related complications, a pancreas transplant may be considered.

The lack of suitable donor pancreases is a major obstacle for this procedure. Pancreas transplant surgery is not recommended for patients who have a heart or lung disease or other life-threatening diseases.

BRIEF ABOUT THE PROCEDURE

Pancreas transplant surgery usually lasts about three hours and is done under general anesthesia. Simultaneous kidney-pancreas transplant surgery takes a few more hours.

As the pancreas is a vital organ, performing functions necessary in the digestion process, the recipient's native pancreas is left in place and the donor pancreas is attached in another suitable location. An incision is made under the ribs and the pancreas and duodenum are located. The pancreas and duodenum (part of the small intestine) are removed and the new pancreas and duodenum are then connected to the patient's duodenum and the blood vessels are sutured together to restore blood flow to the new pancreas. If a kidney transplant is also done, the blood vessels of the new kidney will be attached to blood vessels in the lower part of the abdomen. The new kidney's ureter will be connected to the bladder.

The new pancreas should start working immediately and the old pancreas will continue to perform its other actions. If a new kidney is placed, it will make urine just like how the existing kidneys did when they werePANCREAS TRANSPLANT healthy. Often this starts immediately. In certain cases, urine production takes up to a few weeks.

Soreness or pain around the are of incision will be there during healing. Recovery time in the hospital is usually about one week, followed by close monitoring for an additional three to four weeks. It is adviced to stay close to the transplant center in this case.

Even with the best possible match between you and the donor, your immune system will try to reject the new pancreas. Your drug regimen will include medications to suppress your immune system. You'll likely take these or similar drugs for the rest of your life.

Some of these medications may cause noticeable side effects. Steroid-like medications can make your face become round and full. You may gain weight, develop acne or facial hair, or experience abdominal problems. These effects may decrease as time goes on. As medications to suppress your immune system make your body more vulnerable to infection, your doctor may also prescribe antibacterial, antiviral and antifungal medications. Some immune system medications can also increase the risk of developing or aggravating certain conditions, such as high blood pressure, high cholesterol and cancer.

Your post-transplant treatment will be a delicate balancing act between preventing rejection and managing unwanted side effects. Your doctor will monitor your treatment closely and adjust it as needed. You'll also need to follow a diet designed to keep your new pancreas healthy.

Risks

As in the case with any surgery there would be risks associated with anesthesia.

Bleeding, Infection, transplant rejection etc are the other associated risks

RELATED ARTICLES

The other Organ Transplant Procedures are:

  • Kidney Transplant
  • Heart Transplantation
  • Liver Transplant
  • Bone Marrow Transplantation… etc
HOSPITALS FOR PANCREAS TRANSPLANT
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