Before undergoing transplant, you may need to undergo rigorous evaluation, which includes:
This consists of a physical examination and cancer screening tests to evaluate your overall health.
Various tests like CT scan, MRI, or PET scan may be recommended to look for any abnormality in the organs.
These evaluations are done to assess your overall stress, financial issues, and support by your friends and family.
Ultrasound is done with the help of sound waves creates a picture of the internal organs, and it gives the inside picture of the organ. Endorectal ultrasounds are commonly performed to find in case of cancer and how deeply rectal cancer has grown. It also helps plan treatment.
Colonoscopy helps the doctor to look inside the entire colon for any abnormality. In this procedure, a long, flexible tube (colonoscope) is inserted into the rectum. There is a tiny video camera at the tip of the tube that gives the pictures.
There are more patients in need of an intestinal transplant than the bowel donated. Hence, the waiting list is long in India. While being on the waiting list for organ, your doctor will start the other treatment and plan a treatment that will keep you in stable condition and prepare you for your upcoming transplant procedure. Keep your doctor informed about any changes your experience about your health and get a consultation.
In case the hospital where you have registered for your transplant received the organ, they will immediately call you and admit you.
After you are admitted, you will undergo various tests and evaluations to assess if you are healthy enough to undergo transplant surgery.
Once you are cleared by your doctor for surgery. You will be taken to the operation theatre, and anesthesia will be given to numb the pain.
Depending upon the health condition, some patient's may need ventilator support.
Your doctor will make an incision in the abdomen to have access to your intestine.
An evaluation will be done to look for abnormalities in the intestine and other organs around it.
Removal of the intestine
At this step, your intestine will be removed (together with other organs in case of a multi-visceral transplant), and the appropriate donated organ(s) will be placed into the abdomen.
A stoma is an opening surgically-created in the small bowel or colon (respectively ileostomy and colostomy), which allows the transplant team to monitor the transplanted organ. After some time, usually 6 to 12, the stoma will be closed.
Gastrojejunostomy feeding tube
In some cases, gastrojejunostomy tube inserted during the operation through the skin and into the GI tract. One end is in the stomach. It is usually used to decompress the stomach or to administer medications. This tube is usually removed after and reasonable nutritional independence is achieved. In some cases, this tube is not placed.
After the procedure is complete, an incision is closed.
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