If the procedure is successful, it cures diabetes and makes medical management for that condition unnecessary, though maintaining a transplanted organ has its own complications. When successful, this can help prevent diabetes as the body continues to produce its own insulin.
Since it requires advanced preparation, the procedure is not possible in cases of emergency surgery to remove the pancreas. To replace the digestive function of the pancreas, a pill containing enzymes to help digest food must be taken before eating every meal. This will allow the body to absorb the nutrients it needs.
Without a pancreas, a patient is responsible for maintaining good health by choosing a healthy diet and making sure to get enough exercise. The complications that result from diabetes and malnutrition are severe and can be fatal.
As the first and largest group of gastroenterologists in central Texas, Austin Gastroenterology provides expert care for all GI disorders. We have 18 offices throughout the greater Austin area.
To schedule an appointment, call the office nearest you or you can use our online appointment request form. Austin Gastroenterology in Central Texas is the largest physician group that specializes in the diagnosis, treatment, and prevention of gastrointestinal diseases.
Austin Gastro has more than 30 board-certified gastroenterologists and more than two dozen mid-level providers. Locations Providers. A partial pancreatectomy involves removing part of the pancreas, such as the body or tail, during a Puestow or Whipple procedure.
A total pancreatectomy involves removing the entire pancreas. While a total pancreatectomy is usually effective in relieving pain in patients when all other treatments fail, it induces permanent diabetes, requiring patients to take insulin shots or use an insulin pump for the rest of their lives. This is because the pancreas contains Islets of Langerhans — also known as islets or islet cells — that regulate the body's blood sugar levels. UCSF's Islet and Cellular Transplantation Center is one the few medical centers in the country to offer a total pancreatectomy performed with an islet autotransplant.
This innovative dual procedure helps alleviate pain caused by pancreatitis, while preserving the ability to secrete insulin and reducing the risk of developing surgically induced diabetes. Patients with chronic pancreatitis have the option of having an islet auto meaning "self" transplant after their total pancreatectomy. During an islet autotransplant, the patient's own islet cells are isolated from their removed pancreas and then put back into the patient, where they start producing insulin.
This procedure may prevent diabetes from developing or make the diabetes milder than if a patient had had a pancreatectomy alone. While the goal is to eliminate each patient's pain, preserve their pancreatic function and prevent diabetes, there is no guarantee that diabetes will not develop because there is no way of determining the quality of a patient's islets before transplantation.
Patients who have a pancreatectomy with an islet autotransplant have a 50 percent chance of becoming insulin dependent for life, while patients who have only a pancreatectomy have a percent chance of becoming permanently insulin dependent. Patients who are at the highest risk of developing diabetes are those who have not had prior surgery to remove a portion of their pancreas. This diet cleans out your bowels. You may also need to stop taking certain medicines a few days before surgery, especially blood thinners like aspirin and warfarin Coumadin.
After your pancreas and other organs are removed, your surgeon will reconnect your stomach and the rest of your bile duct to the second part of your intestine — the jejunum. This connection will allow food to move from your stomach into your small intestine. If you have pancreatitis, you may have the option of getting an islet auto transplant during your surgery.
Islet cells are the cells in your pancreas that produce insulin. In auto transplantation, the surgeon removes the islet cells from your pancreas. These cells are placed back into your body so you can keep making insulin on your own.
You might need to stay in the hospital for a few days, or up to two weeks. You might also have a feeding tube. Once you can eat normally, this tube will be removed. Your doctor will give you medicine to control your pain. Because your body will no longer produce a normal amount of insulin to control your blood sugar, you will have diabetes. Your endocrinologist or primary care doctor will help you manage your blood sugar. To stay healthy, follow a diabetic diet.
Try to eat small meals throughout the day to keep your sugar level steady. Carry around a source of glucose with you in case your blood sugar dips. Also, incorporate exercise during the day. Staying active will help you regain strength and manage your blood sugar levels. Take the medicines your doctor prescribes, monitor your blood sugar, and stay active.
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