Providence Liver and Pancreas is a multidisciplinary program that provides clinical services and cutting-edge therapies for patients with cancerous or non-cancerous conditions of the liver, pancreas and biliary system.
Liver and Pancreas Treatments:
- Surgical Resection: For certain patients diagnosed with cancers of the liver, pancreas or biliary system, surgery (resection) offers the best chance for cure or long-term survival.
- Laparoscopic Surgery: Laparoscopic surgery involves removing certain benign or malignant tumors through three or four half-inch incisions. Laparoscopic surgery usually results in faster recovery, less pain and scarring.
- Radiofrequency Ablation: For people with inoperable primary or metastatic liver tumors, RFA is an exciting new approach to destroying tumors in the liver. This procedure helps to shrink the tumor by placing a probe through an incision in the body so tiny electrodes can destroy cancer cells with heat.
- Intrahepatic Chemotherapy/Chemoembolization: For people diagnosed with liver cancer, chemoembolization is the process of injecting chemotherapy drugs into the artery that supplies blood to the tumor in the liver.
Who Qualifies for Liver or Pancreas Transplant?
A candidate for transplant must continuously meet the following criteria:
- Have irreversible kidney failure with 20 percent or less of normal kidney function, requiring dialysis or approaching the need for dialysis at the time of transplant. Certain types of kidney disease must be at a stage where they are inactive.
- Have adequate insurance to cover the transplant, medications, office visits and lab testing needs after transplant.
- Have a plan for who can be immediately available to provide support following transplant. This includes driving to and from office and lab visits, home care needs, as well as managing medications and treatments. Kidney transplant is not a cure; it requires taking medications for life, regular lab testing and doctor visits.
- No active chronic or untreatable infection; for example, a chronic bone infection or large wounds.
- No severe heart or blood vessel disease, such as blockages in your blood vessels that limit physical activity or crate a high risk for heart attack or losing a limb; or make it difficult to safely perform transplant surgery.
- No severe liver or lung disease, or other uncontrolled medical problems, which make the risk for surgery or complications from transplant medications too great.
- No current cancer or cancer with a high risk to reoccur. If you had cancer, you must have an adequate period of observation after treatment to assure there is none recurrent before you may qualify for transplantation.
- No use of nicotine products; no active use of recreational or illicit drugs, including marijuana.
- No untreatable mental illness. Patients with mental illness must be well treated and under a treatment plan that includes routine psychology or psychiatry follow up, as well as a strong social support system of friends, family, co-workers or church members.
- Demonstrate medical compliance by completing and attending all dialysis sessions as prescribed; attending doctor's visits; taking medications as prescribed; and completing the transplant evaluation a scheduled.
- Have a primary care physician or diabetic physician to provide care after transplant.
- Body Mass Index (BMI) less than 39. Obesity increases the risk of complications after transplant. Surgery becomes technically more difficult and high risk on a patient with a large wasitline and deeply-layered abdomen.
- Have diabetes requiring Insulin, requiring less than or equal to 1 U/kg per day of insulin.
- BMI less than or equal to 30 with C-peptide less than or equal to 2 ng.mL.
- BMI less than or equal to 28, with C-peptide greater than 2 ng/mL.