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Review
. 2021 Apr 1;26(2):220-228.
doi: 10.1097/MOT.0000000000000851.

Late graft loss after intestinal transplantation

Tanyaporn Kaenkumchorn  1 , Danielle Wendel  1 , M Cristina Pacheco  2   3 , Simon P Horslen  1
Affiliations
Review

Late graft loss after intestinal transplantation

Tanyaporn Kaenkumchorn et al. Curr Opin Organ Transplant. .

Abstract

Purpose of review: Despite improvement in short-term outcomes after intestinal transplantation in the last 20 years, long-term rates of graft attrition and patient survival remain unchanged, with worse outcomes compared with other solid organ transplants. This review investigates the multiple causes of late graft loss, including chronic rejection, infection, graft-versus-host disease, posttransplant lymphoproliferative disorder and postsurgical complications.

Recent findings: New insights into immunology of the intestine and evolution of immunosuppression, as well as review of current persistent causes of late graft loss, shed light on findings that may help improve long-term intestinal allograft survival.

Summary: Although intestinal transplantation remains a life-saving intervention with significant advancements since its inception, further understanding of mechanisms of injury is needed to improve long-term outcomes and prevent late intestinal graft loss.

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References

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    1. Smith JM, Weaver T, Skeans MA, et al. OPTN/SRTR 2017 annual data report: intestine. Am J Transplant 2019; 19: (Suppl 2): 284–322.
    1. Kaufman SS, Avitzur Y, Beath SV, et al. New insights into the indications for intestinal transplantation: consensus in the year 2019. Transplant 2020; 104:937–946.

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