The Kidney-Pancreas Transplant Evaluation Process

Your transplant evaluation serves two purposes. First, it provides a chance for you and your family to learn as much as possible about transplantation in order to decide if you could benefit from a kidney-pancreas transplant. Second, the evaluation allows the Emory transplant team to learn your medical history and determine your suitability for a kidney-pancreas transplant.

Your first visit in the evaluation process will be for an education session. During this meeting, which will last two to three hours, you will meet several members of the team and learn about the medical, surgical, and financial aspects of kidney-pancreas transplantation. You may bring along family members, and you will have a chance to ask questions.

Tests

Testing will begin with a complete medical history and physical exam. We will also perform a chest X-ray and an EKG (heart tracing test). If you are over 45 years old or have risk factors for heart disease, a cardiologist (heart specialist) will perform a stress test on your heart.

Other tests that may be performed include:

• Ultrasound, CT scan, or MRI of the abdomen
• Ultrasound of the neck
• Blood pressure cuff test to measure blood flow to your legs
• Eye examination
• Studies of the bladder and lower urinary tract

Women over 35 years of age should have a mammogram, and all women will need a current gynecological examination and PAP smear to rule out infections or other problems. A current dental examination is also recommended for all patients. A colonoscopy is recommended for all patients over 50 years old.

After the transplant evaluation, your tests and lab work will be reviewed by the transplant team. You and your primary physician will be notified of our recommendation by telephone and in writing. If we determine that you could benefit from a kidney-pancreas transplant, we encourage you to contact the Mentor Project to talk to other patients who have had transplants. Their firsthand insights may help you make your own decision about whether to pursue a kidney-pancreas transplant.