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Should a Stoma Be Used After Intestinal Transplant
Akin Tekin1, Gennaro Selvaggi2, Brent J Pfeiffer3
1UMMG Department of Surgery, Miller School of Medicine, Medical Campus, University of Miami, Highland Professional Building Miami, 1801 Northwest 9th Avenue, Suite#327, Miami, FL 33136, USA.
Abstract:
As we all acknowledge benefits of ostomies, they can come with significant morbidity, quality of life issues, and major complications, especially during reversal procedures. In recent years, we have started to observe that similar graft and patient survival can be achieved without ostomies in certain cases. This observation and practice adopted in a few large-volume transplant centers opened a new discussion about the necessity of ostomies in intestinal transplantation. There is still more time and randomized studies will be needed to better understand and analyze the risk/benefits of "No-ostomy" approach in intestinal transplantation.
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