Best Doctors in India for Pancreas Transplant

Best Hospitals in India for Pancreas Transplant

Wockhardt Hospitals, Mumbai

Hospital Highlights:

  • Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
  • Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
  • Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
  • Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
  • The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
  • It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.

Pushpawati Singhania Hospital & Research Institute, New Delhi

Hospital Highlights:

  • Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
  • The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.

W Pratiksha Hospital, Gurgaon

Hospital Highlights:

  • W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
  • With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
  • Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
  • The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.

Narayana Superspeciality Hospital, Gurugram

Hospital Highlights:

  • Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
  • It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
  • It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.

Sir Ganga Ram Hospital, New Delhi

Hospital Highlights:

  • Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
  • The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
  • Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
  • As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
  • Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.

CK Birla Hospital, Gurugram

Hospital Highlights:

  • The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
  • The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
  • The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.

KIMS Hospital, Hyderabad

Hospital Highlights:

  • KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
  • The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
  • The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
  • The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
  • The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.

Fortis Hospital, Shalimar Bagh

Hospital Highlights:

  • Fortis Hospital in Shalimar Bagh is a multi-super specialty hospital that strives to provide world-class patient care by leaving no stone unturned.
  • Fortis, Shalimar Bagh, with 262 beds and a 7.34-acre footprint, provides the best level of medical care through its team of doctors, nurses, technicians, and management professionals.

Reliance Hospital, Mumbai

Hospital Highlights:

  • Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
  • The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
  • The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery

Lilavati Hospital & Research Centre, Mumbai

Hospital Highlights:

  • Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
  • Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
  • The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
  • The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.

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

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