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Related Concept Videos

Kidney Transplant III: Nursing Management01:16

Kidney Transplant III: Nursing Management

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Postoperative Nursing Management for Kidney Transplant PatientsPostoperative nursing management care includes monitoring the surgical site, encouraging early movement, and promoting lung health through breathing exercises. Nurses also administer prescribed medications like H2-blockers, such as famotidine, or proton pump inhibitors, like omeprazole, to help prevent gastrointestinal ulcers and bleeding. Fungal infections in the mouth and bladder can result from immunosuppressive and antibiotic...
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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

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Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
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Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

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Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
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Kidney Transplant I: Introduction01:28

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A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
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Diseases of the Liver and Gallbladder01:26

Diseases of the Liver and Gallbladder

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Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
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Barrett Esophagus-II: Clinical Manifestations and Management

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Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
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Related Experiment Video

Updated: Jul 19, 2025

Porcine Liver Transplantation Without Veno-Venous Bypass As an Extended Criteria Donor Model
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Bezoar at Jejunojejunostomy Following Liver Transplant: A Case Report.

Srilakshmi Atthota1, Anne MacDonald, Aman Ali

  • 1From the Department of Surgery, Division of Transplantation, Massachusetts General Hospital, Boston, Massachusetts, USA.

Experimental and Clinical Transplantation : Official Journal of the Middle East Society for Organ Transplantation
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Summary

A rare case of small bowel obstruction in a liver transplant recipient was caused by a bezoar forming at the jejunojejunostomy. Surgical revision of the biliary-enteric anastomosis successfully treated the obstruction and prevented recurrence.

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Area of Science:

  • Gastroenterology
  • Transplant Surgery
  • Surgical Pathology

Background:

  • Roux-en-Y biliary-enteric reconstruction is common in pediatric liver transplantation.
  • This technique can lead to small bowel complications, unlike end-to-end anastomosis.

Observation:

  • A 26-year-old male presented with symptoms of small bowel obstruction 11 months post-liver transplant.
  • The obstruction was caused by a bezoar impacted at the jejunojejunostomy of the biliary-enteric anastomosis.

Findings:

  • The patient underwent surgical resection and reconstruction of the anastomosis.
  • This intervention resolved the obstruction and prevented recurrence.

Implications:

  • Highlights a rare complication of Roux-en-Y biliary reconstruction after liver transplant.
  • Emphasizes the importance of careful surgical technique and potential need for revision in biliary-enteric anastomoses.