Good quesion about the pancreas transplants. That's the most common comment I get about transplants.....that people don't realize they do pancreas transplants. Told you my doc is one of the best! ;). Seriously... he is.
Pancreas transplants are not nearly as common as kidney transplants for a few reasons: .....
1. You can only get a pancreas tranplant from a cadaver donor, while many kidney transplants are done from living donors who will donate one of their kidneys.
2. In addition to the kidneys that come from live donors, a cadaver donor produces 2 kidneys that can be donted. Recipients receive only 1 donated kideny each, so that's why a cadaver donor will help out 2 people. With the "double donation" from cadavers which helps two people, as well as living donors, kidney transplants are fairly common these days. A medium to large transplant center will do well over 100 kidney tranplants in a year, while only doing a few pancreas transplants.
3. Pancreas transplants have a lower success rate than kidneys, and are much more difficult to do, and more difficult to keep from rejecting afterward. Pre-screening of the patient and the guidelines to be able to receive one are much more rigorous.
4. For Type I diabetics (like I was), pancreas transplants are not done in lieu of insulin. Puttng the patient on imunosuppression is not worth the added risks. The patients who receive a pancreas transplant will only do so if they are already going to receive (or have already received) another organ (such as a kidney), and will be on the immunosuppression medications anyway....as was the case for me.
I don't know the answer as to why they are not done in the case of pancreatic cancer. I would guess it's because, in most cases, the cancer has already spread beyond the pancreas. If it hasn't, I imagine just removing the cancerous pancreas, and putting the person on insulin, would be helpful even if not receiving a transplant. Unfortunately, with the nature of pancreatic cancer, and its typical late discovery, it is often too late in most cases.
Twinwillow -
Best luck to you with your heart issues. That strict salt limitatiom sounds like a tough one. Do diuretics such as Lasix help?
Glenn
<message edited by Glenn1234 on Fri, 11/11/11 2:01 AM>