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Dr. Richard Mangus

Hepatology
Indianapolis, IN
23 years experience male

Locations

Indiana University Health, Solid Organ Transplant Program

Indianapolis, IN

Address

550 N University Blvd, Rm 4601, Indianapolis, IN
Directions

My office hours

Wednesday: 1:00pm - 4:00pm
Show more

Insurances accepted

Anthem BlueCross BlueShield

Office

Indianapolis, IN

About

Bio

<DIV><B>Current practice:</B></DIV> <DIV>Indiana University School of Medicine</DIV><B> <DIV><B><BR></B></DIV>Education</B>: <DIV>Johns Hopkins University</DIV> <DIV>University of Maryland School of Medicine</DIV> <DIV>Oregon Health Sciences University</DIV> <DIV>Indiana University, School of Medicine</DIV> <DIV><BR></DIV> <DIV><B>Specialty</B>:</DIV> <DIV>Surgery - adult and pediatric</DIV> <DIV>Transplants including liver, intestine and multiorgan</DIV> <DIV>Complex conditions of the liver, biliary system, and intestines</DIV> <DIV><BR></DIV> <DIV><B>Academics and Research</B>:</DIV> <DIV>Author of a large number of published clinical research studies and book chapters regarding liver transplantation, liver organ donation, intestine complications and transplantation </DIV>

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Hepatology

Critical Care

General Surgery

Transplant Surgery

Licenses

United States: Indiana

Doctor Q&A

74 Answers
5 Agrees
The number of answers this doctor has agreed with.
A 21-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
Depends on the organ: Procedures depend upon type of organ failure: for example, kidney failure patients often need dialysis access placed (catheters or fistulas); liver fa... Read More
A 47-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
Transplant option: If the liver is failing from cirrhosis, the only real option is liver transplant. The intestine function should recover after transplant unless there ... Read More
A 33-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Partially relieved: Appetite is a complex sensation that comes from the brain. Your brain may sense hunger if you have an empty stomach or from low blood glucose levels. ... Read More
A 35-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Need evaluation: The "gut" generally refers to the gastrointestinal tract. Thorough work up of abnormal gastrointestinal function may include evaluation by a gastroent... Read More
A 37-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Intestine failure: Tpn is the primary therapy for intestinal failure - a condition that exists when your intestine cannot provide enough nutrition and fluid to support l... Read More
A 22-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
High risk pregnancy: Short bowel syndrome is also known as intestinal failure because the intestine fails to provide adequate fluid and nutrition to the body - often from ... Read More
A 25-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
Yes, they can donate: Most states now use the driver's license to obtain consent. If the person has declared their wish to donate previously, this is sufficient consent. Al... Read More
A 27-year-old male asked:
Dr. Richard Mangus
Hepatology 23 years experience
Possible later risk: Most healthy patients who donate a kidney see no difference in their health throughout their life. However, after donation, you have given away half o... Read More
A 27-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
Possible infection: If she has biliary atresia, she likely had a kasai procedure - connecting her intestine to her liver to drain bile. She has risk for biliary infection... Read More
A 38-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
All but 150-200cm: All of the intestine can be removed. However, most adults need to keep at least 150 to 200 cms of small intestine to maintain enough function to avoid... Read More
A 35-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
May be: Crackling in the ear is pretty non-specific. An abnormal ear sound can occur from something within the ear itself, or with the sinus passages around t... Read More
A 42-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Probably normal: The aorta is a very large blood vessel that carries blood from your heart to your lower torso and legs. If you have a thin abdominal wall, it is not u... Read More
A 36-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Can be very late: The liver is a small factory that performs many functions in the body - detoxification, processing of food, generation of proteins, modulation of bloo... Read More
A 38-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Liver, Good outcomes: Liver transplant has some of the best outcomes in solid organ transplantation. The average 1-year survival is around 88%, but this remains as high as ... Read More
A 46-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
May increase risk: The gastric sleeve procedure can be safely performed with good success in most patients. However, sarcoidosis can lead to poor tissue healing, making ... Read More
A 33-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Common bile duct: Bile is made in the liver and is a by-product of liver metabolism (generally broken down red blood cells cleared from the blood stream). The bile coll... Read More
A 42-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
Best view of abdomen: The abdominal ct is the best quick view of the entire abdominal cavity. It provides a great picture of all organs and the abdominal wall, as well as t... Read More
A 38-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
2-4 hours in general: Of course there are many factors that determine the length of any surgery - complexity of the anatomy, previous surgeries, size of the patient, risks ... Read More
A 42-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Usually some left: Usually, only a portion of the intestine is removed when it is necessary. This means that the remaining intestine will compensate. If too much is remo... Read More
A 47-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Kidney/liver/marrow: Humans can donate both organs and tissues that can be used in other humans. The most commonly donated tissue is blood - thousands of times each day. L... Read More
A 44-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Death if no function: The kidneys and liver are essential to survival. A person cannot live if these organs have no function. For kidney failure, the patient can go on dial... Read More
A 29-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
Many possibilities: Upper abdominal pain is non-specific but there are several possible causes. The organs of the upper abdomen include liver, gallbladder, stomach, duode... Read More
A 51-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Hernia, scar tissue: The two most common causes are hernias and scar tissue. A hernia is a defect in the abdominal cavity. The intestine gets stuck in this defect, causing... Read More
A 39-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Search for cause: Abdominal pain can come from a variety of sources. The most important factor is to identify the cause. You have to rule out common causes of abdominal... Read More
A 29-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
May be liver problem: The liver has been functions such as producing proteins, blood clotting factors, modulating your blood glucose and excreting bilirubin. If you have li... Read More
A 44-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Swallow contrast: Rupture of the esophagus is serious and requires definitive diagnosis and treatment to avoid injury and possible death. Diagnosis is generally made by... Read More
A 31-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Loss of intestine: The most common cause of short bowel syndrome is "short bowel" - meaning that you have lost some portion of your intestine. Generally, the more you lo... Read More
A 37-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Try to shrink tumors: Transplant is the best treatment for certain liver cancers. Though all centers have criteria for acceptable tumor size in liver transplantation, there... Read More
A 45-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
No definitive care: Cirrhosis of the liver is a terminal disease and there is no definitive cure except for liver transplant. However, many people live for years with cir... Read More
A 35-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Intestine failure: Tpn is the primary therapy for intestinal failure - a condition that exists when your intestine cannot provide enough nutrition and fluid to support l... Read More
A 48-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Need 150-200cms: All of the intestine can be removed. However, most adults need to keep at least 150 to 200 cms of small intestine to maintain enough function to avoid... Read More
A 36-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
Normal range: Yes, the creatinine is in the normal range for someone your age. However, creatinine isn't the best measure for kidney function. If you are concerned,... Read More
A 42-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Yes, but not alone: The large intestine has been transplanted many times in the past, but only as part of a small intestine transplant. The large intestine has two jobs: ... Read More
A 34-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
Cyst is discrete sac: A cyst is a discrete sac-like structure with a membrane around it that separates it from other nearby tissue. Most cysts are not dangerous and can be ... Read More
A 37-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
May be higher risk: Use of extended criteria donor livers has expanded dramatically in recent years as the need for transplant organs increases. There are two types: high... Read More
A 35-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
May be stomach issue: Upper abdominal discomfort can come from many sources including the gallbladder, stomach, pancreas and liver. Tapping from inside is an unusual compla... Read More
A 38-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Intestine failure: Tpn is the primary therapy for intestinal failure - a condition that exists when your intestine cannot provide enough nutrition and fluid to support l... Read More
A 48-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Short and long term: There are both short and long term complications of tpn. Short term complications include infections, and imbalance of electrolytes, fluid status and ... Read More
A 45-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Depends on age: Tpn is certainly toxic to the liver over time and eventually will result in liver cirrhosis from cholestatic disease. The exact etiology is unclear bu... Read More
A 48-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Short and long term: There are both short and long term complications of tpn. Short term complications include infections, and imbalance of electrolytes, fluid status and ... Read More
A 27-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
Several muscles cut: Most surgeons use a "mercedes" incision for a liver transplant - an upside down "y." the incision cut through both the right and left rectus muscles a... Read More
A 27-year-old male asked:
Dr. Richard Mangus
Hepatology 23 years experience
Many possibilities: Your symptoms are common, but non-specific. Abdominal pain can result from many processes but i will mention a few. A healthy, young female can experi... Read More
A 33-year-old female asked:
Dr. Richard Mangus
Hepatology 23 years experience
Find cause of pain: Pain from liver failure varies, usually depending upon the primary disease. Many patients with liver cirrhosis and liver failure have no pain at all. ... Read More
A 40-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Can be tested: You can be tested for donor compatibility at 35 weeks of pregnancy, but you should probably wait. You are not going to donate the kidney while pregnan... Read More
A 33-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Be informed: Donating a kidney can be a wonderful thing to offer to a loved one in need. However, you should be fully informed before making this decision. Explore... Read More
A 28-year-old male asked:
Dr. Richard Mangus
Hepatology 23 years experience
Maybe kidney stone: Your description is classic for a kidney stone that is small or has not yet passed. The testicle will begin to ache and this can go on for some time. ... Read More
A 25-year-old male asked:
Dr. Richard Mangus
Hepatology 23 years experience
Slow progression: Barrett's esophagus is when cells of the lower esophagus began to change because of ongoing injury. Related to chronic acid reflux disease from the st... Read More
A 49-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Diarrhea/dehydration: The large intestine has two primary functions: 1) storage of stool and 2) absorption of water. When food leaves the small intestine, it is liquid. By ... Read More
A 29-year-old male asked:
Dr. Richard Mangus
Hepatology 23 years experience
Acute and chronic: Liver failure occurs acutely (rapid) or chronically (slow onset). Any liver failure is characterized by failure of the liver to perform its functions ... Read More
A 43-year-old member asked:
Dr. Richard Mangus
Hepatology 23 years experience
Acute failure risky: Acute liver failure can be caused by an event leading to sudden liver failure: tylenol (acetaminophen) overdose, hepatitis infection, poisonous mushro... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

3
Recommendations
129
Thank you notes
May 31, 2013
Dr Magnus provides excellent, reliable & accurate answers
HealthTap member
Mar 30, 2015
Dr. Mangus is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Mangus is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! Are any supplements worth trying whilst I wait for a specialist to see
HealthTap member
Thanks, especially for the radiology suggestion. Hadn't thought of that - it sounds interesting.
HealthTap member
This saved my life. Thank You! Thank you so I can be glad coming back from the death

Education & Training

Medical/Graduate school

Oregon Health & Science University School of Medicine
Graduated 1999MD

Medical/Graduate school

Oregon Health & Science University School of Medicine, OR
Graduated 1999MD

Residency

Indiana University Hospital

Residency

INDIANA UNIVERSITY HEALTH
Completed 2004

Awards

ROCHE Organ Transplant Research Grant, ROCHE
Top Transplant Surgeon , First Place, Indiana - Winter
2013
Top Transplant Surgeon , First Place, National - Summer
2013

Affiliations

American College of Surgeons
American Society of Transplant Surgeons
Society for Surgery of the Alimentary Tract

Publications

Multivisceral transplantation: Expanding indications and improving outcomes
Closure of the abdominal wall with acellular dermal allograft in intestinal transplantation
Immunosuppression induction with rabbit antithymocyte globulin (rATG) in 1000 liver transplant patients
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less