Locations
Indiana University Health, Solid Organ Transplant Program
Indianapolis, IN
My office hours
Thursday: 10am - 12pm
Show morePhone
Practice website
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>
SpecialtiesDoctors 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.
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 36-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Maybe liver failure: Primary biliary cirrhosis is an insidious disease that tends to be progressive over time. The small ducts that drain bile from the liver will narrow a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 40-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 29-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Replace sick liver: The concept of transplantation of any organ is quite simple - replace the failing organ with a normally functioning organ. In the case of liver transp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years agoMerged
A 29-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 46-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Can cause heartburn: Acid reflux or heartburn results from the reflux of acid from the stomach up into the esophagus. The esophagus is not built to withstand this acid and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Acute/chronic differ: There acute (fast) and chronic (slow) liver failure. Acute liver failure can occur with an overdose or a virus - you present with decreased energy, na... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Two ways to be dead: In the U.S. And most countries, there are two ways to be diagnosed as dead: brain death and cardiac death. Brain death occurs when there is no longer ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 41-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 42-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Differs among people: Some people can lose a significant length of their intestine and still maintain relatively normal function. Other people can retain their entire intes... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 31-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Very unlikely: Rectal prolapse is when a segment of intestine turns inside out and can extrude from the body in defecation. Injured intestine may slough the mucosa. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Risks of surgery: Donating a portion of your liver is much more involved and risky than donating a kidney. The operation is longer and more complex, the recovery takes ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsAnswered >2 years ago
A 44-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Several tests: Several tests examine the intestine: endoscopy, exploratory surgery, ct scan, x-ray, gastrograffin enema, ultrasound. Each test is used based upon the... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 49-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Depends on disease: Actually, 20% of all liver transplant recipients have alcoholism as the primary cause of their liver failure. We treat alcoholism as any other disease... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Cirrhosis terminal: Cirrhosis of the liver is considered a terminal disease - eventually, the liver will fail and the person will die. However, people can live for many y... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 42-year-old female asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Contrast - best view: Most likely the liquid was oral contrast. This improves the sensitivity of the ct scan in identifying abnormalities. Specifically, the contrast stays ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Drivers license best: The best organ donor card is your driver's license. You can elect to be an organ donor when obtaining your license. Then, it is usually with you and, ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Ultrasound to check: A pulse in the abdomen is probably just blood moving through your aorta with each heart beat. This is normal and can be felt if you relax a thin abdom... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 52-year-old female asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Non specific symptom: Unfortunately, headache and fatigue are non-specific. You are on relatively high doses of azathioprine and prednisone. The Prednisone is a steroid. Si... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsReviewed >2 years ago
A 34-year-old female asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Immune suppression: Imuran (azathioprine) is a medication which suppresses your immune system. This can lead to an increased risk of infections such as viruses and colds.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 36-year-old female asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
4.5k viewsReviewed >2 years ago
A 31-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Blood not normal: Blood in the ear is not normal. However, the blood is not necessarily dangerous. The skin in the ear can be quite sensitive. So, if you are cleaning t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 35-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years agoMerged
A 38-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 48-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 45-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 48-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsAnswered >2 years ago
A 27-year-old male asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 43-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 40-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 47-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Responds to demand: The transplanted kidney will respond to the demand placed on it by the recipient. Small kidneys can be transplanted into large persons and the kidney ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 29-year-old male asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 25-year-old male asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 28-year-old male asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 34-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
Sex function varies: The definition of a quality sexual relationship varies for each individual couple. If you are specifically asking about the ability of your husband to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 31-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 years experience
No personality trxp: We are often asked about personality changes after organ transplantation. I have talked to hundreds of these patients and have never documented specif... Read More
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsAnswered >2 years ago
A 27-year-old female asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.3k viewsReviewed >2 years ago
A 33-year-old female asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 49-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 33-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 37-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 46-year-old female asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 29-year-old female asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
3.2k viewsReviewed >2 years ago
A 36-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
A 38-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 44-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
A 42-year-old member asked:

Dr. Richard Mangusanswered
Hepatology 24 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
Created for people with ongoing healthcare needs but benefits everyone.
4.9k viewsReviewed >2 years ago
TestimonialsRecommendations and Thank you notes are endorsements given from patients or other doctors.
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
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