![More than 95% of people survive the first year after a pancreas transplant.](https://images.medicinenet.com/images/article/main_image/what-is-the-function-of-the-pancreas-in-the-body.jpg?resize=650px:*&output-quality=75)
More than 95% of people survive the first year after a pancreas transplant. Organ rejection occurs in about 1% of the patients. The survival rate decreases to 92.5% at three years. The risk of death from the surgery itself is low and happens in less than one in 100 cases.
If the transplantation is successful, the recipients may have a stabilized bloodsugarlevel without the need for externalinsulinshots. The complications ofdiabetes, such as nerve and vision issues, may also improve after transplantation.
The potential lifespan of the transplanted pancreas is unknown; however, at present, individuals are surviving for more than 16 years after transplantation.
的recipients with successful transplantation have a better quality of life with better psychosocial and career aspects, but these recipients won’t have the health and performance of a healthy individual.
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What is a pancreas transplant?
A pancreas transplant is a last resort treatment in patients with an established type 1diabetes mellitus. It involves the replacement of an unhealthy pancreas with a healthy pancreas from a donor. A pancreas transplant helps in:
- Improvingtype 1 diabetes糖尿病
- 减少依赖insulin shots
- Treatingpancreatic cancer
The pancreas is generally taken from a deceased donor; however, in selective cases, the pancreas will be taken from a living donor. There are four types of pancreas transplant:
- Simultaneous pancreas-kidney transplant:This type of transplant involves a simultaneous pancreas and kidney transplant.
- Pancreas-after-kidney transplant:Pancreas transplantation takes place after successful kidney transplantation.
- Kidney after pancreas transplants:Kidney transplantation takes place after successful pancreas transplants.
- Pancreas transplant alone:It is performed in patients with serious and complicateddiabetes.
![](https://images.medicinenet.com/images/quiz/human-body/human-body-s1.jpg)
QUESTION
What percentage of the human body is water?See AnswerWhen should a pancreas transplant be avoided?
A pancreas transplant should be avoided in people with:
- A history ofcancer
- Human immunodeficiency virus/Acquired immunodeficiency syndrome
- Infections such ashepatitis
- Lung disease
- Obesity
- 严重的heart disease
- Lifestyle habits such assmoking,alcoholordrug abuse
- Blood vessel disease of neck and leg
什么expect in a pancreas transplant?
Before the procedure:
- The surgeon determines if a pancreas transplant is necessary for you.
- You need to undergo specific tests as a part of the evaluation, which includes:
- Blood tests or skin tests to check for infection
- 心tests such as electrocardiography,echocardiography, or cardiac catheterization
- Tissue and blood typing to make sure that the body doesn’t reject the donated organs
- Test to diagnose earlycancer
- You will be placed on a waiting list to receive a deceased donor pancreas.
- Your name and blood test results will be placed on the United Network for Organ Sharing’s national list.
- During the wait, follow these steps:
During the procedure:
- A pancreas transplant is generally performed under general anesthesia.
- The surgeon makes an incision down the center of the abdomen.
- Next, the surgeon places the donor pancreas on the lower right side of the abdomen attached to the nearby blood vessels. If the pancreas is taken from a deceased donor, then the surgeon removes the pancreas along with a small section of the small intestine. Whereas, if the pancreas is taken from a living donor, the surgeon takes a portion of the body and the tail of the pancreas.
- 的recipient’s existing pancreas usually remains in their body.
After the procedure:
- You have to stay in the hospital for three to seven days.
- You will need regular blood tests for one to two months.
- You may need to take several medications post-transplant.
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