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Review
. 2021 Apr 1;26(2):229-233.
doi: 10.1097/MOT.0000000000000865.

Intestinal transplantation

Jennifer Garcia  1 , Gennaro Selvaggi  2 , Akin Tekin  2 , Rodrigo Vianna  2
Affiliations
Review

Intestinal transplantation

Jennifer Garcia et al. Curr Opin Organ Transplant. .

Abstract

Purpose of review: Intestinal transplantation has evolved to be a viable treatment option for patients with intestinal failure. This review shows the most current tendencies and practices of intestinal transplant centers and an overall comparison to intestinal rehabilitation.

Recent findings: This review outlines that timing for referral and advances in preoperative and postoperative care of intestinal and multivisceral transplant candidates are crucial to achieve results comparable to intestinal rehabilitation.

Summary: Current practices have shown that intestinal transplantation continues to improve overall results and could be considered in patients with permanent home parenteral nutrition. Timing for referral and preoperative and postoperative management are crucial to optimize long-term results.

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References

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    1. Pironi L, Arends J, Baxter J, et al. ESPEN endorsed recommendations. Definition and classification of intestinal failure in adults. Clin Nutr 2015; 34:171–180.
    1. Pironi L, Joly F, Forbes A, et al. Long term follow up of patients on home parenteral nutrition in Europe: implications for intestinal transplantation. Gut 2011; 60:17–25.
    1. Burghardt KM, Wales PW, de Silva N, et al. Pediatric intestinal transplant listing criteria- a call for a change in the new era of intestinal failure outcomes. Am J Transplant 2015; 15:1674–1681.
    1. Diamond IR, de Silva N, Pencharz PB, et al. Neonatal short bowel syndrome outcomes after the establishment of the first Canadian multidisciplinary intestinal rehabilitation program: preliminary experience. J Ped Surg 2007; 42:808–811.

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