Combined living donor liver/small bowel transplantation.

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

Transplantation

journal_title

Transplantation

authors

Testa G,Holterman M,John E,Kecskes S,Abcarian H,Benedetti E

doi

10.1097/01.tp.0000157280.75015.14

subject

Has Abstract

pub_date

2005-05-27 00:00:00

pages

1401-4

issue

10

eissn

0041-1337

issn

1534-6080

pii

00007890-200505270-00023

journal_volume

79

pub_type

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