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Pancreas Transplant: surgery for Diabetic People

Pancreas Transplant: surgery for Diabetic People

The pancreas is a compound acinotubular gland located behind the stomach. The pancreas is both an exocrine and an endocrine organ. The exocrine part of the pancreas helps in the digestion of food, whereas, the endocrine part of the pancreas functions to regulate blood sugar levels. In cases when the pancreas does not function completely then the doctors advise transplant of the pancreas.

A pancreas transplant is done in cases of diabetes when the pancreas is not able to synthesize the required amount of insulin and rarely in a certain type of cancer. A pancreas transplant is the last retort and should be done only when no other option is left.

Types of pancreas transplant

The donors of the pancreas are usually brain dead people

  • Transplant of a pancreas alone,
  • Transplant of pancreas and kidneys especially in cases of diabetes nephropathy, in such type of pancreas transplant kidneys, are also transplanted as due to high blood sugar levels the kidneys also losses their ability to perform its function. This type of transplant is also known as a simultaneous pancreas-kidney transplant.
  • Transplant of a part of the pancreas. The donor of this type of pancreas transplant is usually biologically close relatives or identical twins.
Examination before transplant

Before transplanting the pancreas the recipient undergoes the following medical examination:

  • A blood HIV test.
  • Chest X-ray
  • Kidney function test
  • Echocardiogram or sometimes electrocardiogram or sometimes both.
Contra-indication for pancreas transplant
  • History of cancer within the last two years.
  • History of heart disease.
  • People having coronary disease
  • Mal-nourished people.
  • People who do not follow doctors advise
  • People who are indulged in substance abuse.
Pre-operative care
  • Eat healthy and keep yourself healthy
  • Exercise regularly
  • Take medicines as advised by the doctor
  • Do not stress yourself
  • Do not smoke tobacco or other harmful drugs.
During the procedure

Pancreas Transplant

Anesthesia is administered to the patient. When the patient is under the effect of anesthesia the surgeon makes an incision down the center of the stomach. The surgeon then places the healthy pancreas without removing the diseased pancreas as it helps indigestion. The pancreas is then attached to all major blood vessels.

In cases where the kidneys are also transplanted the kidneys are placed at the site of the kidneys and is connected to the major blood vessels and bladder.

Post-operative care
  • After the surgery, the patient is shifted to the ICU for a couple of days.
  • Once the patient is stable he is moved to the transplant recovery area where he is kept under observation for a few days.
  • After the patient is discharged they are advised to meet the doctors frequently to ensure that there are no complications associated with the transplant.
  • Take medicines regularly.
  • Eat healthy food
  • Exercise regularly
  • Have frequent check-ups.
Complications
  • Infections
  • Bleeding
  • Blood clot or thrombosis
  • Rejection of the donated organs by the body
  • High blood sugar levels.
Complications caused by medicines
  • High blood pressure and cholesterol levels.
  • Osteoporosis
  • Hair loss, sometimes excessive hair growth.
  • Weight gain

List of Top 20 Organ Transplant Surgeons

SUGAR: IS IT GOOD OR BAD?

Organ Transplant Hospitals from India

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Organ Transplant: A Boon in Irreversible Organ Failure

Organ Transplant: A Boon in Irreversible Organ Failure

An organ transplant is a surgical procedure in which a healthy organ is surgically removed from a healthy donor and is surgically implanted in the recipient, who has either a damaged organ or the organ is absent. It is a miracle for people suffering from terminal and irreversible organ failure.

The organ recipient is either in the same place as the donor or the organ sent from the donor’s site to the recipient.

  • If the donor and recipient of an organ or tissue is the same person, it is an autograft.
  • If the organ transplant involves two persons of the same species either alive or dead is an allograft.
  • When organ or tissue transplant involves two different species then it is known as xenograft or xenotransplantation.
  • When the person who receives an organ, becomes the donor of the same organ for some other recipient, then it is known as dominos transplantation.

In ABO transplantation, organs from incompatible donors are surgically transplanted in the recipient. The recipient is usually a baby who does not have a well-developed immune system.

Organs and tissues capable of transplantation are:

  • Heart transplant (dead donor) who was brain-dead and had a healthy heart.
  • Heart valve transplant (dead/living/xenograft)
  • Heart-lung transplant (dead/dominos transplant)
  • Lung transplant from a recently dead donor.
  • Kidney (dead/living donors)
  • Liver (dead/ living donors) with a healthy liver graft.
  • Pancreas (only dead donors)
  • Islets of Langerhans (dead/living donors)
  • Intestine (dead/ living donors)
  • Stomach (dead donor)
  • Cornea (dead donor)
  • Skin (autograft) to promote healing.
  • Bone marrow (autograft/ living donors)
  • Blood vessels (autograft/ living donors)
  • Testis (dead/ living donors)

Organs for transplantation need to be retrieved within ten hours after the heart has stopped working in dead donors.

Complications after Organ Transplant

Organ Transplant

Following compilations arise after organ transplant because of immunosuppressant intake. This prevents the immune system to fight against:

  • Diabetes
  • High cholesterol level
  • Increased risk of developing heart disease
  • Gastroenteritis
  • Anxiety
  • Depression
  • Gout
  • Decreased sexual drive
  • Unwanted hair growth
  • Increased risk of catching an infection
  • Nausea
  • Fatigue
  • Headache
  • Anemia
  • Puffy face
  • Arthritis
  • Ravenous appetite
  • Weaken bone
  • Rashes and acne
  • Mood swings
  • Tingling in hand and feet
  • Weight gain
  • Tremors
  • Swelling in hand and weight

Lifestyle changes after Organ Transplant: Tips to lead a healthy life

  • Maintain a healthy weight
  • Eat healthy food
  • Take your medicines regularly
  • Visit a doctor if you find new symptoms after an organ transplant.
  • Do inform the doctor that you have undergone an organ transplant operation recently.
  • Exercise regularly as advised by your doctor
  • Control your blood sugar and blood pressure
  • Reduce the stress level in your life
  • Eat protein-rich food
  • Drink plenty of water and fluid
  • Avoid high sodium-rich food
  • Avoid fatty and oily food
  • Get enough rest and sleep
  • Monitor your body temperature regularly.
  • Avoid weight gain
  • Prevent crowded places to avoid infection
  • Keep yourself happy and positive

List of Top 20 Organ Transplant Surgeons

Organ Transplantation Hospitals in India
  1. Aditya Birla Memorial Hospital , Baner Road, Pune
  2. B J Medical College and Sassoon Hospital, Pune
  3. Aditya Birla Memorial Hospital , Baner Road, Pune
  4. Breech Candy, Mumbai Maharashtra India
  5. Bhatia Hospital, Mumbai Maharashtra
  6. Bombay Hospital and Medical Research Centre
  7. Ruby Hall Clinic, Wanowrie,Pune
  8. D. Hinduja Hospital, Mumbai India
  9. Kokilaben Dhirubhai Ambani Hospital, Mumbai
  10. Jupiter Hospital, Thane Mumbai
  11. Fortis Hospital, Mumbai,Maharashtra, India
  12. Asian Heart Institute and Research Centre, Mumbai
  13. Indraprastha Apollo Hospitals, New Delhi
  14. VGM Hospital , Singanallur Coimbatore Best multi-specialty accredited hospitals from Coimbatore
  15. Medanta Hospital, Gurgaon, India

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