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Related Experiment Videos

Small-intestinal transplantation

O Goulet1, D Jan, N Brousse

  • 1Service de Gastroentérologie et Nutrition Pédiatriques, Université René Descartes, Hôpital Necker-Enfants Malades, Paris, France.

Bailliere'S Clinical Gastroenterology
|February 4, 1998
PubMed
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Intestinal transplantation offers a life-saving option for patients with intestinal failure, particularly when home parenteral nutrition (PN) is insufficient. Survival rates are improving, making it a viable therapeutic choice for select patients.

Area of Science:

  • Gastroenterology
  • Transplant Surgery
  • Clinical Nutrition

Background:

  • Parenteral nutrition (PN) advancements have improved intestinal failure management.
  • Intestinal transplantation is emerging as a critical therapeutic option for select patients.
  • Over 180 small-bowel grafts have been performed since 1985.

Purpose of the Study:

  • To review the outcomes and indications of intestinal transplantation.
  • To assess patient and graft survival rates based on different protocols.
  • To evaluate the role of intestinal transplantation in managing intestinal failure.

Main Methods:

  • Analysis of data from over 180 small-bowel grafts performed globally.
  • Review of patient demographics, indications, graft types, and survival rates.

Related Experiment Videos

  • Comparison of outcomes based on immunosuppression protocols (cyclosporine vs. FK506).
  • Main Results:

    • Short-bowel syndrome was the primary indication (64%), predominantly in patients under 20.
    • Two-year patient survival exceeded 51%, influenced by immunosuppression.
    • Functional grafts enabled gastrointestinal autonomy and improved nutritional status.

    Conclusions:

    • Intestinal transplantation is a viable option for patients with intestinal failure refractory to PN.
    • Careful consideration of risks versus benefits and quality of life is crucial for patient selection.
    • Isolated small-bowel transplantation is preferred, with combined liver-small bowel grafts reserved for severe liver disease.