Pancreas transplant
Pancreas transplants are carried out under general anaesthetic . This means you'll be asleep and won't feel anything during the procedure.
A pancreas transplant operation can take four to five hours to complete.
If you also need a Renal transplant at the same time, the procedure can take around six to eight hours.
Your new pancreas should start to produce insulin straight away.
A small number of people with type 1 diabetes may have a slightly different procedure, where only the cells that produce insulin (islet cells) are transplanted from a donor pancreas into the liver.
This is called islet transplantation, and it's usually carried out under local anaesthetic , which means you're awake but the area being operated on is numbed.
A thin, flexible tube (catheter) is inserted through your tummy and liver, into the vein that supplies the liver with blood. The donor islet cells are then injected into it.
If the procedure is successful, the donor cells will start making insulin. This can help people who experience severe episodes ofa dangerously low blood sugar level (hypoglycaemia) that occur without warning.
Insulin treatment is often still needed after the operation, but the episodes of hypoglycaemia should be easier to control.
As with a conventional pancreas transplant, medication to suppress the immune system will need to be taken.
For more information, see the National Institute for Health and Care Excellence (NICE) guidance onallogeneic pancreatic islet cell transplantation for type 1 diabetes mellitus .
Once the transplant is complete, you'll usually be moved to an intensive care unit (ICU) or a high dependency unit (HDU).
You will be very closelylooked after, and various tubes and machines that help monitor your health and support the functions of your body will be attached to you.
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Find out why pancreas transplants are carried out, what they involve, and the potential risks.
Find out about when a pancreas transplant may be considered, how you will be assessed to determine if one is suitable, and who might not be able to have one.
You will be referred for an assessment if a pancreas transplant is thought to be a suitable option.
Find out what happens during a pancreas transplant and islet transplant.
Find out what happens after a pancreas transplant, including how long you may need to stay in hospital and the ongoing care you'll need.
Find out about the possible complications of a pancreas transplant, including rejection of the donor pancreas and side effects from immunosuppressant medication.
Ivy Ashworth-Crees, who used to have diabetes, talks about how much better her life is since her double kidney and pancreas transplant.