Pancreas Transplantation
Kidney Pancreas Transplant Surgeon in Mumbai
What is Pancreas Transplantation?
The pancreas is a palm-sized organ located in the abdomen near the stomach, intestines, and other organs. The juice produced by the pancreas helps digest food and hormones, such as insulin and glucagon to maintain optimal blood sugar levels and helps the body use and store energy in food. Insulin) The human pancreas can no longer provide enough insulin for the body. Dr. Aditya J. Nanavati is a well-known and highly experienced Kidney Pancreas Transplant Surgeon in Mumbai. Pancreas transplantation provides a potential treatment for type 1 or insulin-dependent diabetes.
A pancreas transplant can also help control the damage caused by type 1 diabetes to other organs, including the kidneys.
Pancreas transplantation is mainly provided to patients with type 1 diabetes who have severe kidney disease or other life-threatening blood sugar levels. Type 1 diabetes is brought about by the misfortune or brokenness of insulin-creating cells (called pancreatic beta cells). Beta-cell (β cell) is a sort of cell found in the islets of the pancreas. They represent 65-80% of pancreatic islet cells.
Why is Pancreas Transplantation Done?
Doctors may consider pancreatic transplantation for people with any of the following symptoms:
- Type 1 diabetes cannot be controlled by standard treatment
- Frequent insulin response
- Poor blood sugar control persists
- Severe kidney damage
- Type 2 diabetes is associated with low insulin resistance and low insulin production
Following are the different types of pancreas transplants,
- Pancreas Transplants Alone – People who have diabetes and early kidney disease or no kidney disease may be candidates for pancreas-only transplantation (pancreas transplantation alone). Pancreas transplantation involves implanting a healthy pancreas into a recipient whose pancreas is no longer functioning properly.
- Combined kidney and pancreas transplantation – Surgeons can usually perform combined (simultaneous) kidney-pancreas transplantation for diabetic patients who have kidney failure or are at risk of kidney failure.
- Pancreas after a kidney transplant – For those who face a long wait for the availability of donor kidneys and donor pancreas, if a deceased or living donor kidney is available, it may be recommended to perform a kidney transplant first. Once a donor pancreas is available, a pancreas transplant is performed.
- Islet cell transplantation – In islet cell transplantation, insulin-producing cells (islet cells) collected from the pancreas of a deceased donor are injected into a vein that carries blood to the liver. It may require multiple injections of transplanted islet cells. It can only be conducted as part of a clinical trial approved by the Food and Drug Administration.
What happens During Pancreas Transplantation Surgery?
Dr. Aditya Nanavati, a  Pancreas Surgeon in Mumbai performs a pancreas transplant under general anesthesia, so you will remain unconscious during the operation. The anesthetist or anesthetist will give you medicine in the form of breathing gas through a mask or inject liquid medicine into a vein.
After coma:
- An incision is made by the surgeon in the center of the abdomen.
- A new pancreas and a small portion of the donor’s small intestine are placed in the lower abdomen.
- The contributor’s digestive tract is associated with the small digestive system or bladder, and the giver pancreas is associated with veins, which additionally supply blood to the legs.
- If you are also undergoing a kidney transplant, the blood vessels in the new kidney will merge with the blood vessels in your lower abdomen. Kidney to the bladder will be connected unless your own kidneys cause complications, such as high blood pressure or infection, they will stay where they are.
The surgical team will monitor your heart rate, blood pressure, and blood oxygen throughout the operation.
Pancreas transplantation usually takes a long time. Between three or six hours. Depending on whether you receive a pancreas transplant alone or a kidney and pancreas transplant at the same time.
What Care Should Be Taken After Pancreas Transplantation?
After a pancreas transplant, you can:
For a few days stay in the intensive care unit. Pancreas Surgeons, Doctors, and nurses will monitor your condition for signs of complications. After transplantation, the new pancreas will begin working quickly and the old will proceed with its different capacities. If you have a new kidney, you will produce urine, just like when your own kidney is healthy. Usually, this will start immediately. However, in some cases, it may take several weeks to reach a normal urine output.
Once your condition is stable, you will be taken to the transplant recovery area to continue recovery. When you heal, expect pain or soreness around the incision site.
Checkups should be done. As you continue to recover, please check frequently. After you leave the hospital, you need to be monitored closely for three to four weeks. Your transplantation team will develop an inspection schedule that suits you. During this period, if you live in another city, you may need to arrange to live near the transplant center.
Take medicine for a lifetime. After a pancreas transplant, you need to take a variety of medicines. Drugs called immunosuppressants help to prevent your immune system from attacking your new pancreas. Additional medications can help reduce the risk of other complications after transplantation, such as infection and high blood pressure.
Why Choose Dr. Aditya J. Nanavati?
Choosing the right doctor can make a huge difference. Dr. Aditya J. Nanavati is a professional and highly experienced Kidney Pancreas Transplant Surgeon in Mumbai. Dr. Aditya J. Nanavati practices as a Consultant Surgeon in Multi-Organ Transplant and Hepatobiliary Surgery.