Question 1

what is a mini-allo transplant?

Accepted Answer

Low doses of chemo: Doctors want to capture the anti-tumor effect of the donor's immune cells and they do not need to totally kill all the patient's cancer cells at the time of transplant. These cells will do it over time. Therefore the transplant itself is not as dangerous as a full or standard transplant. However, the serious complications that occur from these same cells causing gvhd are still present.

Question 2

how are kidney transplants done?

Accepted Answer

Kidney transplant: Once the kidney is removed from the donor eithe living or cadaver, the kidney is placed through a lower abdominal incision iusually into the right side of the pelvis and attached the iliac vein and artery and ureter implanted into the bladder.

Question 3

how common are kidney transplants?

Accepted Answer

~17,000 a year in US: In 2013, there were 16,895 kidney transplants in the U.S.  About 11,000 of them were deceased donor kidney transplants; the rest were living donor transplants.

Question 4

what age is too old for transplant?

Accepted Answer

Usually 70-75: At least for a liver transplant, usually 70-75.  More importantly is the absence of other medical conditions.  So, if a patient has liver failure without diabetes, hypertension, heart disease, or kidney disease, programs are more likely to consider them for a transplant.  I believe this also generally true for other organs as well.

Question 5

who should  get an islet transplant?

Accepted Answer

Type 1 diabetics: Islets, the Insulin producin  areas of the pancreas, can be transplanted for advanced type 1 diabetes, either in the form of a whole organ, or as islet cell transplants. Most islet cell transplant eventually fail, and, more worrisome, cause antibodies that make subsequent whole organ transplant difficult. The whole organ pancreas transplant is therefore currently the best option.

Question 6

who is eligible for organ transplants?

Accepted Answer

Depends: Eligibility and allocation varies by organs.  For example, kidneys are allocated based on waiting time whereas liver, heart, lungs are allocated based on how sick the patient is.  In general, active infections, recent history of cancers, and multi-organ failures might make a patient ineligible.

Question 7

why do some people need kidney transplants?

Accepted Answer

Kidneys not working.: When kidneys can no longer do their work effectively, i.e., remove extra fluids and toxins from the body, their function must be taken over - or a person will die. Dialysis is an option, but transplant is usually the most effective treatment. One problem is that there are many more people who NEED kidney transplants than there are available kidneys. LGromkoMD

Question 8

is there a health requirement for transplant?

Accepted Answer

Yes: There is an indepth review of the recipients overall health and functional level.  This consists of cardiovascular work-up, pulmonary work-up.  A search for any evidence of cancer.  Also their previous exposure to infectious agents is checked out.  The surgeons want to be as certain as possible that you will live through a surgery and have a meaningful recovery.

Question 9

can you tell me more about organ transplants?

Accepted Answer

Organ transplants: Its difficult to answer in few sentences.....its a huge field...constantly evolving.....and organ specific....for example solid organ transplant or bone marrow transplants or isolated cell transplants etc.....its very dynamic too.

Question 10

what is the success rate of kidney transplants?

Accepted Answer

Well,: Kidney transplant success rates vary greatly across transplant centers. The average 5 year survival rate is 80-90%, .

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Doctor answers about:

Transplantation

A member asked:

What is a mini-allo transplant?

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How are kidney transplants done?

A member asked:

How common are kidney transplants?

A member asked:

What age is too old for transplant?

A member asked:

Who should get an islet transplant?

A member asked:

Who is eligible for organ transplants?

A member asked:

Why do some people need kidney transplants?

A member asked:

Is there a health requirement for transplant?

A member asked:

Can you tell me more about organ transplants?

A member asked:

What is the success rate of kidney transplants?

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