Potential adult candidates for intestinal transplantation: data from a single institutional experience during a 15-year period

Palmo, A.; DeFrancesco, A.; Costantino, Andrea; Ferrero, Leonardo López; Rinaldi, Mauro; Bertinet, D. Boggio; Pont, M; Lupo, Francesco; Salizzoni, Mauro

doi:10.1016/s0041-1345(02)02644-1

Cited by 3 publications

(1 citation statement)

References 8 publications

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“… 13 , 51 Outcomes are improving due to the standardization of surgical techniques, advances in immunosuppressive therapy, and improvements in postoperative patient care, but continue to carry a risk of complications (such as rejection and infections) and adverse events associated with immunosuppression. 53 – 55 These patients often require frequent hospital admissions or blood tests due to complications of their immunosuppressive regimes. Some patients continue to have problems of “dependency”.…”

Section: Intestinal Transplantationmentioning

confidence: 99%

Assessment and management of patients with intestinal failure: a multidisciplinary approach

Grainger¹,

Maeda²,

Donnelly³

et al. 2018

CEG

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Intestinal failure (IF) is a condition characterized by the inability to maintain a state of adequate nutrition, or fluid and electrolyte balance due to an anatomical or a physiological disorder of the gastrointestinal system. IF can be an extremely debilitating condition, significantly affecting the quality of life of those affected. The surgical management of patients with acute and chronic IF requires a specialist team who has the expertise in terms of technical challenges and decision-making. A dedicated IF unit will have the expertise in patient selection for surgery, investigative workup and planning, operative risk assessment with relevant anesthetic expertise, and a multidisciplinary team with support such as nutritional expertise and interventional radiology. This article covers the details of IF management, including the classification of IF, etiology, prevention of IF, and initial management of IF, focusing on sepsis treatment and nutritional support. It also covers the surgical aspects of IF such as intestinal reconstruction, abdominal wall reconstruction, and intestinal transplantation.

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