Press Esc to close
Monday 30 March 2015
News updated at 4:03 PM IST
Weather
Max: 34.6°C
Min : 20.2°C
In Bengaluru
Sunny day

Hospital conducts intestinal transplant, saves 30-yr-old

New Delhi:Jan 5, 2013 DH News Service

After gap of three years, patient now able to eat food

 Software engineer Himanshu who became India’s first recipient of a successful intestinal transplant at Medanta hospital after his operation, at the hospital in Gurgaon on Friday. PTI Photo

 Himanshu, 30, got a new lease of life when the rare intestinal transplant was carried out on him. It was after three years that he could eat food and digest it too. It took 10 hours for the operation that was conducted six weeks ago.

In December 2009, Himanshu felt acute abdominal pain. He was diagnosed with blockage in the main vein of his intestine resulting in loss of blood supply to the intestine.

Consequently, 95 per cent of his small intestine had to be removed and only 28 cm was left. The normal length of the small intestine is six metre.

Not being able to absorb the nutrients his body needed, he remained dependent on intravenous nutrition.

During the three years after his intestinal failure, he suffered many life-threatening infections and was hospitalised 11 times. He underwent six minor surgeries to place or change feeding tubes into his veins.

The family had approached Medanta Hospital where he was listed for intestinal transplant.

The blood group of a 20-year-old dead person’s matched that of Himanshu’s and the transplant was conducted on November 24, 2012.

The chairperson of the institute of transplantation and chief surgeon at the hospital, Dr A S Soin said, intestinal failure is defined as the inability to maintain sufficient electrolyte, nutrient, and fluid balance for more than one month without intravenous (parenteral) nutrition.

Patients with intestinal failure are considered candidates for transplant when total parenteral nutrition (TPN) has been tried for a while, but cannot be tolerated due to complications. And the remaining intestine cannot adapt enough to recover its function.

Short bowel syndrome

He added that the common causes of intestinal failure in adults are short bowel syndrome, major abdominal trauma or inflammatory bowel diseases like Crohn’s disease. In children it is usually due to failure of intestinal development or gastroschisis.

Many people with short bowel syndrome, like Himanshu, are dependent on TPN to supply their daily nutrition.

Dr Ravi Mohanka, transplant surgeon at the hospital said, a major problem with such patients is the difficulty of differentiating between rejection and infection since both produce the same symptoms. The differentiation is vital as the treatment of both conditions is different.

Last year, Sir Ganga Ram Hospital conducted an intestinal transplant. The recipient lived for eight weeks. It was a live donor transplant while the present case is of cadaver transplant.

In live donor transplant 200 cm of intestine is available in contrast to 600 cm in cadaver transplant.


Go to Top

Photo Gallery
A boy jumps from a raft into the Sabarmati river to cool off on a hot day...

A boy jumps from a raft into the Sabarmati river to cool off on a hot day...

Christian devotees during a procession as they celebrate 'Palm Sunday' in Bhopal on Sunday...

Christian devotees during a procession as they celebrate 'Palm Sunday' in Bhopal on Sunday...

Goats fighting on compound wall in Bengaluru on Sunday...

Goats fighting on compound wall in Bengaluru on Sunday...

A salvaged bank partially under water at Badshah Chowk after the city received rainfall in Srinagar.

A salvaged bank partially under water at Badshah Chowk after the city received rainfall in Srinagar.

Femina Miss India World 2015...

Femina Miss India World 2015...

Eunuch dance at a procession during All India Eunuch Conference in Beawar...

Eunuch dance at a procession during All India Eunuch Conference in Beawar...

A man pulls his camel as he sits in an auto rickshaw during a dust storm in Ahmedabad...

A man pulls his camel as he sits in an auto rickshaw during a dust storm in Ahmedabad...

New Zealand players congratulate the Australian team following their seven wicket win...

New Zealand players congratulate the Australian team following their seven wicket win...

Australian captain Michael Clarke celebrates  seven wicket victory over New Zealand...

Australian captain Michael Clarke celebrates seven wicket victory over New Zealand...

Australia's captain Michael Clarke holds the Cricket World Cup trophy after they defeated...

Australia's captain Michael Clarke holds the Cricket World Cup trophy after they defeated...

Copyright 2014, The Printers (Mysore) Private Ltd., 75, M.G Road, Post Box 5331, Bengaluru - 560001
Tel: +91 (80) 25880000 Fax No. +91 (80) 25880523