Twenty‐five consecutive isolated intestinal transplants in adult patients: a five‐yr clinical experience

Abstract

Induction therapy has reduced the amount of postoperative immunosuppressive agents, especially in the first period, lowering the risk of renal failure and sepsis and the mucosal surveillance protocol for early detection of rejection dramatically reduced the number of severe ACR.

Three isolated superior mesenteric artery dissections: Update of previous case reports, diagnostics, and treatment options

“…Perhaps small bowel transplant should be reserved for failed SMA revascularization with resultant short-gut syndrome. The most recent literature reports a 5-year graft survival rate of 64% after small bowel trantsplant, 49 which is considerably less than the 100% of reported successful SMA revascularizations in this review. A Medline search revealed no results of small bowel transplant for chronic mesenteric ischemia.…”

Long-Term Outcome of Chronic Intestinal Pseudo-Obstruction Adult Patients Requiring Home Parenteral Nutrition

“…A recent pediatric study has reported a more severe outcome for CIPO patients compared with other patients undergoing ITx (31) . We still lack adequate data concerning adult CIPO patients undergoing ITx, and individual centers have not reported increased mortality (28,63) . In our series, two patients underwent three ITx procedures because of rapid life-threatening evolution.…”

Update on intestinal rehabilitation after intestinal transplantation

“…The mean time to discharge is coming down from postoperative day 90 to around 40 days. In the Bologna programme, adults were discharged after a mean hospital stay of 37 days [15 ]. O'Keefe et al [16 ] report that the median time to discontinue TPN was 18 days after transplant (range 1-117 days).…”