Human orthotopic small intestine transplantation: radiologic assessment

The authors describe the postoperative anatomy and review the radiologic examinations of five patients who underwent orthotopic small intestine or combined orthotopic liver and small intestine transplantation. Mucosal thickening of the transplanted intestine was demonstrated on the first postoperati...

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Published inRadiology Vol. 180; no. 1; p. 37
Main Authors Bach, D B, Hurlbut, D J, Romano, W M, Sutherland, F R, Garcia, B M, Wall, W J, Ghent, C N, Grant, D R
Format Journal Article
LanguageEnglish
Published United States 01.07.1991
Subjects
Adult
Child
Female
Graft Survival
Humans
Intestinal Mucosa - pathology
Intestine, Small - diagnostic imaging
Intestine, Small - pathology
Intestine, Small - transplantation
Liver Transplantation
Middle Aged
Postoperative Complications - diagnostic imaging
Radiography
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Summary:The authors describe the postoperative anatomy and review the radiologic examinations of five patients who underwent orthotopic small intestine or combined orthotopic liver and small intestine transplantation. Mucosal thickening of the transplanted intestine was demonstrated on the first postoperative contrast material-enhanced images and was due to submucosal edema. This resolved within 2 weeks in the long-term survivors. Bowel peristalsis appeared normal as early as 31 days after transplantation. Contrast-enhanced examinations of the intestine were useful to exclude surgical complications such as anastomotic leaks or strictures, but were insensitive for biopsy-proved cytomegalovirus enteritis or rejection.
ISSN:0033-8419
DOI:10.1148/radiology.180.1.2052719