Abstract:
:We are reporting the first known case of sequential combined living donor liver/small bowel transplantation (LDL/SBT). A 2-year-old boy born with gastroschisis and intestinal malrotation lost his entire small bowel and colon shortly after birth. He underwent a living donor small bowel transplant at 1 year of age that was lost 4 months after implantation for posttransplant lymphoproliferative disease (PTLD). He recovered from PTLD but developed total parenteral nutrition (TPN)-induced liver failure. He received a combined left lateral liver and terminal ileum transplant that we chose to perform sequentially due to the presence of preformed antibodies against his mother's tissues. The mother had no complications and a cumulative hospital stay of 7 days. At 9 months postsurgery, the patient is on full enteral nutrition and has suffered neither technical complications nor rejection. The technique described here is reproducible and makes combined living donor LDL/SBT an alternative to combined cadaveric liver-small bowel transplant.
journal_name
Transplantationjournal_title
Transplantationauthors
Testa G,Holterman M,John E,Kecskes S,Abcarian H,Benedetti Edoi
10.1097/01.tp.0000157280.75015.14subject
Has Abstractpub_date
2005-05-27 00:00:00pages
1401-4issue
10eissn
0041-1337issn
1534-6080pii
00007890-200505270-00023journal_volume
79pub_type
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