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cover the procedure.

Still, he said, UAMS expects to perform only “a handful” of the procedures. Such transplants are rare because the pancreas is “a finicky organ,” the donor criteria is very precise, and the procedure is delicate, which can lead to complications, he said. In addition, constant improvements in insulin pumps make pancreas transplants less necessary by giving diabetics better sugar control, which lessens the need for insulin and helps their kidneys last longer.

“Right now, we are only doing kidney- pancreas transplants,” Patel said, noting that dual-organ transplants from the same donor have been shown to benefit patients more than pancreas transplants by themselves.

The primary recipients will be Type 1 diabetics, though Patel said the transplants might eventually become available for Type 2 diabetics as well.

The process generally takes four to five hours and includes removing the donor organs, implanting them separately in the recipient through a single incision and restoring blood flow to the area. That was the case for the recipient of the first kidney-pancreas transplant, who was discharged a week later and whose lab results during follow-up outpatient visits “look really good,” Patel said.

He said that because the waiting list is shorter for people who need both a kidney and a pancreas transplant, as opposed to a kidney transplant alone, UAMS’ decision to start doing pancreas transplants is also helping kidney patients move more quickly up a long waiting list. The first transplant patient was on a waiting list for about a month.

Before performing pancreas transplants, UAMS had to meet stringent certification requirements by the United Network for Organ Sharing (UNOS), which administers the country’s organ procurement and transplantation network. Among the requirements are that a medical center have in place both a transplant surgeon and a nephrologist who have performed a pancreas transplant within one year.

The requirement was met with the hiring in late 2022 of Martha Michelle Estrada, M.D., a board-certified transplant/ hepatobiliary surgeon. Patel, a fellowship-trained transplant surgeon who specializes in treating diseases of the kidney, liver and pancreas, said he also refreshed his training by recently assisting with a pancreas transplant.

The Scientific Registry for Transplant Recipients (SRTR), which evaluates transplant programs for the U.S. Department of Health and Human Services, recently ranked UAMS’ kidney and liver transplant programs among the highest in the nation in categories that have the largest impact on patients’ survival. The kidney transplant program ranked third among 256 programs, while the liver transplant program ranked fourth among 149 programs.

Both received five out of five bars for the speed at which patients obtain transplants after being listed. In addition, the kidney transplant program received five bars for patient survivability one year after transplant, while the liver transplant program scored four bars for survivability one year after transplant.