The evaluation process for transplantation begins with an office consultation with an endocrinologist, nephrologist, transplant surgeon, and transplant nurse coordinator who review the patient's medical history. For patients who meet the criteria for transplantation, medical tests are then conducted to measure major organ function and to rule out any medical conditions that could hinder a successful surgery and recovery. A psychosocial evaluation is performed to determine existing support systems and identify any concerns that could negatively impact the transplant process. All potential transplant recipients may be randomly tested for alcohol or illicit drug use.
After evaluation and testing is completed, the Multidisciplinary Kidney and Pancreas Transplant Team reviews the results and makes a collective decision regarding the candidacy for transplant. The decision is then shared with the patient, the family, and the referring physician.
Before Transplantation
Once a patient is accepted to the Henry Ford Pancreas Transplant Program, the process for an organ donor begins. Patients are added to the national United Network for Organ Sharing (UNOS). The length of time to pancreas transplantation depends on many factors including the patient's medical status and stage of the disease.
The Henry Ford Pancreas Transplant Program closely cares for each patient during the waiting period for an organ donor. The transplant nurse coordinator is available by pager 24 hours daily for medical emergencies, and the team provides an organized process to notify patients immediately when a donor organ becomes available.
During Transplantation
As soon as an organ donor becomes available, the patient is notified to come to Henry Ford Hospital. The transplant coordinator will help the patient undergo preoperative tests and prepare for surgery. Following the transplant surgery, the patient will stay in the hospital for up to two weeks. While in the hospital, every patient begins a medication, nutrition, and disease management education program, as well as rehabilitative exercise and strength training to help with recovery. Powerful drugs called immunosuppressants are given to help prevent the body's natural reaction to reject the new organ.
After Transplantation
Once the patient returns home, the transplant recovery process includes continuation of the medication, nutrition, and exercise rehabilitation program. Full recovery takes about six months after which many patients find they can return to work and other everyday activities. Every patient is closely followed after transplantation by the Henry Ford Pancreas Transplant team.
