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Experts at the Pancreas Transplant Program, a part of the �ٺ���Ƶ Transplant Institute, provide specialized care for people who need a pancreas or a kidney–pancreas transplant, including some people with diabetes and those who have type 1 diabetes and kidney disease.

When a Pancreas Transplant Is Needed

Not everyone who has diabetes needs a pancreas transplant. Here are some of those who may benefit:

• people with type 1 diabetes who need a kidney transplant or who have already received a kidney transplant
• people with type 1 diabetes who also experience hypoglycemic unawareness—very low blood sugar levels with no physical symptoms until they lose consciousness
• people with type 2 diabetes who have a low total daily insulin requirement

Benefits of a Pancreas Transplant

A successful pancreas transplant leaves patients insulin independent and eliminates the need to follow diabetic dietary restrictions or regularly check blood sugars. Some pancreas transplant recipients experience fewer, less-severe episodes of diabetes symptoms, such as numbness in their feet and hands.

Pancreas Transplants We Offer

Doctors at the �ٺ���Ƶ Transplant Institute offer three options for pancreas transplant. Your transplant team helps you to decide which is the best for you.

Simultaneous Kidney–Pancreas Transplant

In a simultaneous kidney–pancreas transplant, often referred to as an SPK, a person receives a kidney and a pancreas transplant at the same time, with organs from a deceased donor.

Pancreas After Kidney Transplant

In a pancreas after kidney transplant, or PAK, a person receives a kidney transplant from a living donor and then, after several months of recovery, has a second surgery to receive a pancreas transplant from a deceased donor.

Pancreas Transplant Alone

People who have type 1 diabetes without kidney disease who experience life-threatening episodes of hypoglycemic unawareness may be candidates for a pancreas transplant alone, or PTA.

Pancreas Transplant Evaluation

You may be referred to the Transplant Institute by your endocrinologist or nephrologist, or you may contact us yourself. During your first visit, our team evaluates you to determine whether a pancreas or kidney–pancreas transplant is appropriate.

During this medical visit, you meet with several members of the transplant team, including a nephrologist, social worker, nutritionist, and nurse coordinator. These experts guide you through the evaluation. You also meet the transplant surgeon, who explains the operation in detail. You complete blood and urine tests, a chest X-ray, a CT scan of your abdomen and pelvis, and specialized heart testing. Additionally, we require all transplant candidates to have age-appropriate cancer screenings, such as colonoscopy, mammogram, or Pap test.

If our experts decide that you are a good candidate for a pancreas or kidney–pancreas transplant, we help you through the process. For people with end-stage kidney disease who have a potential living kidney donor, we facilitate evaluation of your donor and perform the living donor kidney transplant. You are also placed on the waiting list for a pancreas transplant. Once you recover from surgery, you are able to have a pancreas transplant from a deceased donor when an organ becomes available.

If you do not have a kidney from a living donor, we add you to the kidney and pancreas transplant waitlist until a matching kidney and pancreas from the same deceased donor are available.

In the months following a pancreas transplant, you have regular checkups with experts at the Transplant Institute. Over time, we transition your care back to your nephrologist or primary care physician but remain a resource for you and your physician to ensure that you remain in good health.

We offer pancreas transplant evaluations along with pre- and post-transplant outpatient care in Manhattan, in Brooklyn, and on Long Island at �ٺ���Ƶ Hospital—Long Island and �ٺ���Ƶ Surgical Associates—1300 Franklin Avenue.