Kidney and Pancreas transplantation is the best available treatment for type 1 diabetic patients who have end stage renal disease (ESRD) or advanced chronic kidney disease (CKD) likely to require renal replacement therapy in the near future. Kidney and pancreas transplantation is associated with better quality of life and has significant survival benefit comparing to patients with ESRD who will remain on or will enter dialysis.
A pancreas transplant is the transfer of a healthy pancreas from one person into the body of a person who has little or no pancreas function.
Patients suffering of type I diabetes mellitus and associated end stage renal disease.
1- Simultaneous Pancreas Kidney (SPK)
Patients suffering of type I diabetes mellitus and associated end stage renal disease.
Patient will receive both kidney and pancreas from same deceased donor.
2- Pancreas After Kidney (PAK)
In this type of transplant, patients receive kidney first, enabling them to overcome the need for dialysis. This then follows with a pancreas transplant which would take place at a later date.
To determine if you are eligible for transplant, you must first have a transplant evaluation. This critical step helps decide whether transplantation is the correct course of action for your health. During the evaluation, you will meet with several members of the transplant team, including physicians, surgeons, and specialists from transplant team, social, nutrition, psychology, and many more. You will also meet your transplant coordinator, who will help guide you through the evaluation process. During your evaluation you will be required to complete additional testing. Once you have completed your evaluation, your health status and history will be presented to the transplant committee. Generally, most prospective patients are eligible for transplant; candidates who have no chance of surviving the surgical procedure are not eligible for transplant. The evaluation time takes approximately one to two months.
Depending on your overall health, you may need to stay in hospital while these tests are carried out, or you may only need to attend a series of outpatient appointments.
0, 14, 30, 60, 90, 180, 365 (then yearly)