Press Esc to close
Tuesday 29 July 2014
News updated at 3:04 AM IST
Weather
Max: 0°C
Min : 0°C
In Bangalore
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
England's Sam Robson, left, fields the ball beside four other slips ...

England's Sam Robson, left, fields the ball beside four other slips ...

A Muslim woman performs ablution before having iftar meal on the last day of the holy month...

A Muslim woman performs ablution before having iftar meal on the last day of the holy month...

Police take top Maoist leader Sabyasachi Panda while taking him to court in Berhampur...

Police take top Maoist leader Sabyasachi Panda while taking him to court in Berhampur...

The launch of Science Express biodiversity special (SEBS) train in New Delhi...

The launch of Science Express biodiversity special (SEBS) train in New Delhi...

England's Ian Bell hits a shot during the second day of the third cricket test...

England's Ian Bell hits a shot during the second day of the third cricket test...

Bollywood music director Anu Malik, actor Sonam Kapoor, filmmaker Farah Khan and Pakistani...

Bollywood music director Anu Malik, actor Sonam Kapoor, filmmaker Farah Khan and Pakistani...

India shooter Vijay Kumar at Barry Buddon Shooting Centre in

India shooter Vijay Kumar at Barry Buddon Shooting Centre in

Muslim women offer namaz in Coimbatore on Monday during...

Muslim women offer namaz in Coimbatore on Monday during...

India gold medallist Rahi Sarnobatat and silver medallist Anisa Sayyed pose for...

India gold medallist Rahi Sarnobatat and silver medallist Anisa Sayyed pose for...

Ned McKendry of Australia is seen underwater as he...

Ned McKendry of Australia is seen underwater as he...

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