Small bowel transplantation

• Published in: Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery Vol. 26; no. 3; p. 223
• Main Authors: Pécora, Rafael Antonio Arruda, David, André Ibrahim, Lee, André Dong, Galvão, Flávio Henrique, Cruz-Junior, Ruy Jorge, D'Albuquerque, Luiz Augusto Carneiro
• Format: Journal Article
• Language: English
• Published: Brazil 01.07.2013
• Subjects: Digestive System Surgical Procedures - methods; Humans; Intestine, Small - transplantation; Organ Transplantation - methods
• ISSN: 2317-6326
• DOI: 10.1590/S0102-67202013000300013

Small bowel transplantation evolution, because of its complexity, was slower than other solid organs. Several advances have enabled its clinical application. To review intestinal transplantation evolution and its current status. Search in MEDLINE and ScIELO literature. The terms used as descriptors were: intestinal failure, intestinal transplantation, small bowel transplantation, multivisceral transplantation. Were analyzed data on historical evolution, centers experience, indications, types of grafts, selection and organ procurement, postoperative management, complications and results. Despite a slower evolution, intestinal transplantation is currently the standard therapy for patients with intestinal failure and life-threatening parenteral nutrition complications. It involves some modalities: small bowel transplantation, liver-intestinal transplantation, multivisceral transplantation and modified multivisceral transplantation. Currently, survival rate is similar to other solid organs. Most of the patients become free of parenteral nutrition.