Press Esc to close
Friday 31 July 2015
News updated at 2:42 AM IST
Weather
Max: 19°C
Min : 32°C
In Bengaluru
Rain lightly

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 municipal worker fumigates submerged huts situated in the flooded banks of river Sabarmati in ...

A municipal worker fumigates submerged huts situated in the flooded banks of river Sabarmati in ...

A huge whale was found dead on the shores of the beach near Sister Fatima Church at Tannerbhavi ...

A huge whale was found dead on the shores of the beach near Sister Fatima Church at Tannerbhavi ...

School children and their teachers pay tribute to former President APJ Abdul Kalam in Moradabad ...

School children and their teachers pay tribute to former President APJ Abdul Kalam in Moradabad ...

The winning team of the UBA India Pro Basketball League 2015, Chennai Slam with the trophy after ...

The winning team of the UBA India Pro Basketball League 2015, Chennai Slam with the trophy after ...

An Indian boy dressed as Hindu god Shiva to attract alms from devotees chats with tourists as ...

An Indian boy dressed as Hindu god Shiva to attract alms from devotees chats with tourists as ...

People offer flower petals on the grave of former President A.P.J. Abdul Kalam during his funeral ..

People offer flower petals on the grave of former President A.P.J. Abdul Kalam during his funeral ..

1993 Mumbai blast convict Yakub Memon's brothers Suleiman and Usman sitting inside the car

1993 Mumbai blast convict Yakub Memon's brothers Suleiman and Usman sitting inside the car

People worship a bull during Bendur festival in Sangli on Wednesday...

People worship a bull during Bendur festival in Sangli on Wednesday...

Fire brigade and NDRF personnel rescue a person stuck in the three floor Matru-Chhaya...

Fire brigade and NDRF personnel rescue a person stuck in the three floor Matru-Chhaya...

Students of Patna Women's College wear tiger masks to create awareness to save tigers...

Students of Patna Women's College wear tiger masks to create awareness to save tigers...

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