Best Doctors in India for Pancreas Transplant
- Liver Transplant Surgeon & HPB Surgeon, Noida, India
- Over 17 years’ experience
Profile Highlights:
- Dr. K R Vasudevan is a surgical gastroenterologist who has been trained at one of India’s best hospitals. Over a short span of 17 years, his career has progressed to the role of leading a team.
- He has established and sustained a liver transplant program at PSRI over the last few years. Due to his experience with over 1200 live donor liver transplants, he was selected for this role.
- HBP & Liver Transplant Surgeon, Bengaluru, India
- Over 35 years’ experience
Profile Highlights:
- Dr. Sanjay Govil is an accomplished HBP & Transplant Surgeon. He completed FRCS from the Royal College of Surgeons in England.
- He has achieved a few major accomplishments throughout his life as well, which include the First Liver Resection in Karnataka, in 2007, First Laparoscopic Liver Resection in a Cirrhotic Liver in Karnataka in the year 2008, First Laparoscopic Pancreatic duodenectomy in Karnataka in 2008, First ALPPS procedure in India in 2012 and several more.
- He trained in liver surgery and transplantation at Kings College Hospital in London, Queen Mary’s Hospital in Hong Kong, and the Graduate School of Medicine in Tokyo.
- Liver Transplant Surgeon, New Delhi, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Sanjiv Saigal is a trained Hepatologist who has spearheaded the medical team of liver transplantation in the largest liver transplant program in India for over a decade
- Dr. Saigal is a bright name in the field of Gastroenterology and a famous liver transplant specialist with over 3400 successful Liver Transplants in his career.
- Hepatologist and Transplant Physician, Chennai, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Murugan N is one of the best Hepatologists in Chennai and has a total of 30 years of experience in the field.
- Owing training in hepatology at various Hospitals abroad, he treated chronic patients with liver cirrhosis and chronic hepatitis. He has spent years performing endoscopic procedures for the same.
- He is a member of the Liver Transplant Program team that performs around 60 transplants every year. To date, he has performed 15 successful liver transplants.
- Liver Transplant Surgeon and HPB Surgeon, Chennai, India
- Over 15 years’ experience
Profile Highlights:
- Dr. Selvakumar Naganathan is one of the best liver transplant surgeons in India with nearly 15 years of experience.
- He has carried out more than 2000 procedures, including 300 donor & 500 recipient hepatectomies, cadaver transplantations, retrieval of cadaver livers, and live donor liver transplants.
- He also established many liver transplantation centers across India & other countries.
- GI Surgeon and Liver Transplant Surgeon, Gurugram, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Amit Nath Rastogi is a pioneer in the field of liver transplant surgery. He completed his fellowship in liver transplant surgery at Sir Gangaram hospital while being a part of the largest liver transplant program in the country.
- Furthermore, he received his training in robotic liver surgery from IRCAD -Strasbourg, France, and advanced robotic HPB training from Grosseto.
- Liver Transplant Surgeon, Gurugram, India
- Over 10 years’ experience
Profile Highlights:
- Dr. Prashant Vilas Bhangui is one of the highly trained liver transplant specialists who received his training in Surgical Gastroenterology and Liver Transplantation.
- He also holds a European Inter-University Diploma in Hepato-Biliary-Pancreatic Cancers.
- Dr. Prashant is further interested to work in certain fields which include hepatocellular carcinoma, colorectal liver metastases, and living donor liver transplantation. Besides this, he has also published several journals on these subjects.
- Gastroenterologist, Liver Transplant Surgeon, Gurugram, India
- Over 17 years’ experience
Profile Highlights:
- Dr. Shyam Sunder Mahansaria is an award-winning Organ Transplant Surgeon in Gurugram.
- He has managed several complex cases requiring a liver transplant or other open and laparoscopic GI surgeries during his career. He has performed nearly 500 liver uprooting surgical procedures
Best Hospitals in India for Pancreas Transplant
Rela Hospital, Chennai
- City: Chennai, India
Hospital Highlights:
- RIMC is a multi-specialty hospital in a sprawling area of 36 acres located in Chromepet, Chennai, Tamil Nadu, India.
- The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
- RIMC is led and managed by world-renowned physicians committed to healthcare.
- RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
- Rela Institute is driven by patient needs, comfort and confidence.
CARE Hospitals, Hyderabad
- City: Hyderabad, India
Hospital Highlights:
- CARE Hospitals were established in the year 2000, by CARE Group.
- The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
- The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
- The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
- The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.
Fortis Hiranandani Hospital, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Fortis Hiranandani hospital was established in 2007.
- The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
- The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
- The hospital is NABH accredited.
- The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
- The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.
Fortis Hospital, Anandpur, Kolkata
- City: Kolkata, India
Hospital Highlights:
- Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
- The hospital is NABH accredited.
- This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
- The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
- The hospital also has a nephrology department with over 28 advanced dialysis units.
Fortis Hospital Banerghatta, Bengaluru
- City: Bengaluru, India
Hospital Highlights:
- Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
- The hospital is a 276 bedded multi-specialty tertiary care facility.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
- The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).
Gleneagles Global Hospital, Parel, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
- The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
- The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
- The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.
Jaypee Hospital, Noida
- City: Noida, India
Hospital Highlights:
- Jaypee Hospital is the flagship hospital of the Jaypee Group.
- This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
- It holds the accreditation of the NABH and NABL.
- The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
- It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.
Manipal Hospital, Dwarka, Delhi
- City: New Delhi, India
Hospital Highlights:
- Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
- The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
- Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
- The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.
Paras Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Paras hospital was established in 2006 and is the 250 bedded flagship hospital of Paras Healthcare.
- The is supported by a team of doctors of international and national repute.
- The hospital is NABH accredited and also the first hospital in the region to have a NABL accredited laboratory.
- The hospital provides specialty medical services in around 55 departments including Neurosciences, Joint Replacement, Mother & Child Care, Minimal Invasive Surgery, Gynecology and Obstetrics, Ophthalmology, Dermatology, Endocrinology, Rheumatology, Cosmetic and Plastic surgery.
- The hospital is equipped with state-of-the-art technologies.
S L Raheja Hospital, Mahim, Mumbai
- City: Mumbai, India
Hospital Highlights:
- SL Raheja hospital is a 140-bed multi-specialty tertiary care hospital that is being managed by Fortis Healthcare Ltd.
- The hospital is a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs.
- L.Raheja Hospital, Mahim has one of the most effective ICU and Casualty care services.
- The hospital provides specialty medical services in Cardiology, Oncology, Neurology, Orthopedics, Mother & Child Care, and in Diabetes.
Pancreas Transplant
Pancreas transplant is a surgical procedure where a healthy pancreas is placed from a donor into a person whose pancreas no longer work properly. A pancreas transplant is often performed as a last resort and it has become a key treatment for people suffering from type 1 diabetes. This procedure is also sometimes carried out for people who need insulin therapy and suffer from type 2 diabetes, though this is less common.
The transplant is performed with the aim to restore normal blood glucose levels to your body. The transplanted pancreas can produce insulin for managing blood glucose levels.
This procedure is generally performed for people who are suffering from diabetes. It is generally not used to treat people with other conditions, though it is rarely used to treat certain types of cancer.
Process
A pancreas transplant can help in restoring normal insulin production and improving blood sugar control in people suffering from diabetes. However, it is not considered a standard treatment. In some cases, the side effects of anti-rejection medications can be serious.
Doctors can consider this procedure if their patients suffer from the following conditions:
- Type 1 diabetes that is not controllable with standard treatment
- Consistently poor blood sugar control
- Severe kidney damage
- Frequent insulin reactions
- Type 2 diabetes associated with low insulin resistance as well as low insulin production
Types
A pancreas transplant can be of multiple types:
Pancreas transplant alone- People suffering from diabetes and having early or no kidney disease are generally considered candidates for a pancreas transplant alone. A pancreas transplant surgery involves the placement of a healthy pancreas into a recipient whose pancreas is not functioning properly anymore.
Combined kidney-pancreas transplant- Surgeons are able to perform combined kidney-pancreas transplants for people having diabetes who are also having or are at risk of kidney failure. In such cases, the pancreas transplants are done at the same time as the kidney transplants.
This method can give you a healthy kidney and pancreas, which will most likely not contribute to diabetes-related kidney damage in the future.
Pancreas-after-kidney transplant– For people who are facing a long wait for a donor kidney and a donor pancreas to become available, a kidney transplant might be recommended at first if a living or deceased-donor kidney is available.
After the patient recovers from the kidney transplant surgery, they can later receive a pancreas transplant once a donor pancreas is available.
Pancreatic islet cell transplant- During this method, insulin-producing cells, i.e. islet cells that are taken from a deceased donor’s pancreas, will be injected into a vein that will be taking the blood to your liver. Generally, more than one injection of transplanted islet cells might be required.
Preparation
First, you will receive a medical evaluation at a transplant center before you undergo any kind of organ transplant. This will involve multiple tests, for determining your overall health, which includes a physical exam. Your medical history will be reviewed by a healthcare professional at the transplant center.
Before you undergo a pancreas transplant, there might be specific tests, which include:
- blood tests, such as an HIV test
- kidney function tests
- neuropsychological exams
- a chest X-ray
- studies for checking your heart function, such as an electrocardiogram or an echocardiogram
The evaluation process generally takes a month or two. It is done so that the doctor and healthcare team is able to determine whether you are a suitable candidate for the surgery and whether you will be able to handle the drug regiment which is required post-surgery.
Once it is determined, that you are a suitable candidate, then your name will be placed on the waiting list of the transplant center.
You will need to remember that different transplant centers are likely to have different kinds of preoperative protocols. These will vary further depending on the type of donor as well as the overall health of the recipient.
Procedure
The procedure is performed using general anesthesia and therefore you are unconscious throughout the procedure. The anesthetist can give you medication such as gas for breathing through a mask or may inject a liquid medication directly into one of your veins.
Once you are unconscious, your surgeon will first make an incision down the center of the abdomen. The surgeon will then place the new pancreas, as well as a small portion of the donor’s small intestine into your lower abdomen.
Next, the donor’s intestine is attached either to your small intestine or your bladder and the donor pancreas is then connected to blood vessels that supply blood to your legs. After this, your own pancreas is left in place for aiding digestion.
If you are undergoing a kidney transplant as well, then the blood vessels of the new kidney are attached to blood vessels in your abdomen’s lower part.
The new kidney’s ureter, which is the tube linking the kidney to the bladder, will next be connected to your bladder. Your kidneys are left in place unless they are causing any complications such as high blood pressure or infection.
Throughout the procedure, your blood pressure and blood oxygen will be monitored by the surgical team. The surgery can take around three to six hours. It will depend on whether you are having a pancreas transplant alone or a kidney transplant combined with a pancreas transplant.
After the procedure
Once the transplant surgery is complete, recipients are generally required to stay in the ICU for a few days so that he/she can be monitored for any complications. After this, he/she can move to a transplant recovery unit within the hospital.
Since a pancreas transplant involves various medications, a recipient’s drug therapy can require extensive monitoring, since they will need to take these drugs every day to prevent rejection of the new organ.
After a successful transplant, the new pancreas will be making the insulin required by your body and therefore you will not need insulin therapy to treat type 1 diabetes. However, even with the best possible match between the donor and you, your immune system will be trying to reject your new pancreas. This is why you will need anti-rejection medication so that your immune system can be suppressed. It is likely that these drugs can be required for the rest of your life. Medications that suppress the immune system generally makes your body more vulnerable to infection, and this is why your doctor might also prescribe antibacterial and antifungal medications.
Certain signs and symptoms can indicate your body rejecting your new pancreas:
- Belly pain
- Increased blood sugar levels
- Fever
- Excessive tenderness at the transplant site
- Decreased urination
- Vomiting
You will need to notify your transplant team immediately if you notice any of these symptoms.
Risks
Like any organ transplant, there is the possibility of a rejection of the new organ. It carries the risk of failure of the pancreas as well. Thanks to advancements in surgical and immunosuppressant medication therapy, the risk in this procedure have become low. In rare cases, there is also a risk of death.
The procedure itself carries several risks, such as bleeding, blood clots, as well as an infection. There is also a risk of hyperglycemia, which can occur during and right after the transplant.
The drugs which you will receive after the transplant can also lead to serious side effects. Some of these side effects include:
- high cholesterol
- thinning of the bones
- high blood pressure
- Hyperglycemia
- weight gain
- hair loss or excessive hair growth