Report of Initial Experience in Small Bowel Transplantation at São José do Rio Preto Medical School Hospital

• Published in: Transplantation proceedings 2008-04, Vol.40 (3), p.827-829
• Main Authors: da Silva, R.F, de Paula, A.C, Arroyo, P.C, Gonzales, A.M, Marchini, J.S, Duca, W.J, de Faria, W.L, Rocha, M.F, de Felicio, H.C.C, Abbud-Filho, M, da Silva, R.C.M.A
• Format: Article
• Language: English
• Subjects: Adult; Aged; Biological and medical sciences; Brazil; Fatal Outcome; Female; Fundamental and applied biological sciences. Psychology; Fundamental immunology; Health participants; Hospitals, Teaching - statistics & numerical data; Humans; Intestinal Diseases - surgery; Intestine, Small - transplantation; Male; Medical sciences; Public health. Hygiene; Public health. Hygiene-occupational medicine; Short Bowel Syndrome - surgery; Surgery; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Tissue, organ and graft immunology; Treatment Outcome
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2008.02.067

Abstract Intestinal failure is the patient's inability to maintain hydroelectric and nutritional support by the digestive route, arising from massive enterectomy or diseases in which the bowel is incapable of adequately absorbing fluids and nutrients. Patients with intestinal failure associated with short bowel syndrome (SBS) and with other functional diseases with malabsorption or with total parenteral nutrition-related complications (recurrent sepsis and thrombosis of one or more deep venous accesses) are candidates for small bowel transplantation (SBT), which can be an isolated small bowel, a combined liver and small bowel, or a multivisceral graft. At our institution, three isolated SBTs were performed as our initial experience with this transplant.