Allogeneic pancreatic islet cell transplantation for type 1 diabetes mellitus

 
Guidance issued
 
IPG Number: IPG257

Summary

NICE has now issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on allogeneic pancreatic islet cell transplantation for type 1 diabetes mellitus.

This document together with the guidance published IPG274 on autologous pancreatic islet cell transplantation for improved glycaemic control after pancreatectomy (http://www.nice.org.uk/ipg274guidance) replaces previous guidance IPG013 on pancreatic islet cell transplantation.

Description

Type 1 diabetes mellitus is a condition that occurs when the body does not produce enough insulin (a substance that helps control sugar balance in the body). It is usually treatable with insulin injections, but people with type 1 diabetes mellitus have an increased risk of other health problems, such heart disease. Allogeneic pancreatic islet cell transplantation involves the removal of cells called islet cells, which are responsible for the production of insulin, from human donors. These cells are inserted into the patient's liver to restart insulin production within the body. However, patients who have this procedure will need to take medications to help their bodies' immune system to accept the cells.

NICE Pathways

This guidance has been incorporated into the following NICE Pathways, along with other related guidance and products.

Visit the NICE Pathway: diabetes

OPCS4.6 Code(s):

J54.4 Transplantation of islet of Langerhans

Y27.2 Allograft to organ NOC

Y53. - Approach to organ under image control

 

Note: Codes within category Y53.- are used as secondary codes to classify interventions that are percutaneous and require some form of image control: if the method of image control is unspecified, Y53.9 Unspecified approach to organ under image control is assigned.

The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.  www.connectingforhealth.co.uk/clinicalcoding

Details

Arrangement:
Special
Topic area:
Endocrine, nutritional and metabolic
Surgical procedures
Specialty:
Endocrinology
Specialist advice sought from:

British Transplant Society

British Diabetic Association

Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland

Date notified to NICE:
02 April 2002
Provisional consultation date:
Winter 2007/08
Guidance issue date:
23 April 2008

Contact details:

Contact NICE about this project
Technical lead
(for procedure specific enquiries or comments)
Sally Gallaugher
Contact Address:

Interventional Procedures Programme
National Institute for Health and Clinical Excellence
MidCity Place
71 High Holborn
London
WC1V 6NA

Links:

This page was last updated: 06 April 2011

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Accessibility | Cymraeg | Freedom of information | Vision Impaired | Contact Us | Glossary | Data protection | Copyright | Disclaimer | Terms and conditions

Copyright @ 2012 National Institute for Health and Clinical Excellence. All rights reserved.