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Updated: Dec 26, 2025
Orthotopic Small Bowel Transplantation in Rats
Published on: November 6, 2012
Adult intestinal transplantation in the United States
1Intestinal Rehabilitation & Transplantation Program, Mount Sinai Hospital & Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Purpose Of Review:
There has been a striking decline in the annual volumes of adult intestinal transplants performed in the United States from a peak in 2008, reaching its lowest volume in 2019. The current review examines the pattern and potential reasons for the decline.
Recent Findings:
We observe that while improvements in intestinal rehabilitation may be contributing to some of the decline, movements of key personnel and the paucity of experts in a rarefied field may also be contributing to declining volumes.
Summary:
We suggest that the decline in volumes of adult intestinal transplants are likely to be multifactorial. At a time of improving transplant outcomes, the indications for intestinal transplant suggested by the Centers for Medicare and Medicaid Services, may be outdated and worthy of revision.
