Isolated adult intestinal transplantation using portal venous drainage.

Abstract:

:There is some evidence that portal venous drainage may offer immunologic and metabolic advantages in small bowel transplantation. Isolated small bowel transplantation was performed in 14 adult patients. In all cases, the donor pancreas was transplanted into another patient. During the donor procedure, the superior mesenteric artery and vein were separated below the division of the inferior pancreaticoduodenal artery and below the veins of the pancreatic head. An arterial interposition graft was used in all cases. One donor mesenteric artery was reconstructed in 6 patients; two arteries in 5 patients; and three arteries in 3 patients. Proximal arteries of the graft were ligated and the upper part of the jejunum resected. In 10 patients, a direct anastomosis was performed in an end-to side fashion between donor superior mesenteric vein (SMV) and recipient inferior mesenteric vein (IMV). In 2 patients, a branch of the superior mesenteric vein was used and 2 patients required a venous interposition graft to confluence using the donor iliac vein. Patency of the venous anastomosis was documented by magnetic resonance imaging (MRI) angiography after 6 months. No vascular complications have been observed to date. Portal venous drainage is technically feasible in most cases. An anastomosis to the recipient IMV offers the advantage of being direct despite the short donor vein segment. Furthermore, donor and recipient vessels are well matched for size. Using microsurgical techniques, vascular complications may be avoided.

journal_name

Transplant Proc

authors

Platz KP,Pascher A,Braun F,Fändrich F,Neuhaus P,Kremer B,Mueller AR

doi

10.1016/j.transproceed.2003.12.018

subject

Has Abstract

pub_date

2004-03-01 00:00:00

pages

305-8

issue

2

eissn

0041-1345

issn

1873-2623

pii

S0041134503013290

journal_volume

36

pub_type

杂志文章
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    authors: Cobert ML,Peltz M,West LM,Jessen ME

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  • Investigation of the Causes and Risk Factors of Previous End-Stage Renal Disease in Kidney Transplant Recipients.

    abstract:BACKGROUND:Chronic kidney disease (CKD) is a pathophysiological process with many etiologic causes, often leading to end-stage renal disease (ESRD). The distribution of the causes that lead to ESRD varies by country, race, and sex. Renal failure may be prevented by determining these differences and reducing the risk fa...

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  • Results of Haberal's Corner-Saving Ureteral Anastomosis Technique for Renal Transplantation: A Retrospective Study.

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    更新日期:2020-11-28 00:00:00

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    更新日期:2005-04-01 00:00:00

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    pub_type: 杂志文章

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  • Study of the evolution of the clinical profile of heart donors.

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    doi:10.1016/j.transproceed.2006.08.021

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    journal_title:Transplantation proceedings

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0041-1345(03)00815-7

    authors: Mucha K,Foroncewicz B,Paczek L,Pazik J,Lewandowska D,Krawczyk A,Pliszczynski J,Gradowska L,Durlik M,Walaszewski J,Nazarewski S,Szmidt J

    更新日期:2003-09-01 00:00:00

  • Impact of Secondary Insults in Brain Death After Traumatic Brain Injury.

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    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2019.01.176

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    更新日期:2019-09-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2006.02.132

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    更新日期:2006-06-01 00:00:00

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    journal_title:Transplantation proceedings

    pub_type: 杂志文章

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    更新日期:2012-05-01 00:00:00

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    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2004.09.036

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    更新日期:2005-06-01 00:00:00

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    更新日期:2011-12-01 00:00:00

  • C/D Ratio in Long-Term Renal Function.

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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    authors: Goldsmith PJ,Ridgway DM,Pine JK,Speak G,Newstead C,Lewington AJ,Menon KV,Ahmad N,Attia M

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  • Massive ascites due to right heart failure after cardiac transplantation and its treatment: a case report.

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    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2007.11.035

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    更新日期:2008-01-01 00:00:00

  • Surgical and nonsurgical complications of a pig to baboon heterotopic heart transplantation model.

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    更新日期:2009-12-01 00:00:00

  • Interleukin-4 induces lipogenesis in porcine endothelial cells, which in turn is critical for induction of protection against complement-mediated injury.

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    更新日期:2008-03-01 00:00:00

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    更新日期:2009-01-01 00:00:00

  • A Single-center Experience on the Value of Pancreas Graft Biopsies and HLA Antibody Monitoring After Simultaneous Pancreas-Kidney Transplantation.

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    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2015.09.013

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  • Mycobacterial infections after kidney transplant.

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    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2004.12.167

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    更新日期:2005-03-01 00:00:00

  • Posttransplant complications encountered in renal transplantation in the Middle East.

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    pub_type: 杂志文章

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    更新日期:2004-01-01 00:00:00

  • The clinical outcome of end-stage renal disease patients who return to peritoneal dialysis after renal allograft failure.

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    journal_title:Transplantation proceedings

    pub_type: 杂志文章

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    更新日期:2013-10-01 00:00:00

  • Correlation of C0 and C2 levels with cyclosporine side effects in kidney transplantation.

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    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2009.06.155

    authors: Rodrigo E,Ruiz JC,Angeles de Cos M,Ruiz J,Gago M,Piñera C,Sánchez B,González-Cotorruelo J,Gómez-Alamillo C,Arias M

    更新日期:2009-07-01 00:00:00

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    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2007.08.100

    authors: Bohatyrewicz M,Urasinska E,Rozanski J,Ciechanowski K

    更新日期:2007-12-01 00:00:00

  • Nucleosome serum levels in acute hepatic failure and MARS treatment.

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    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2009.08.073

    authors: Roth GA,Lubsczyk BA,Pilz J,Faybik P,Hetz H,Krenn CG

    更新日期:2009-12-01 00:00:00

  • Antibody-mediated response in rat liver chronic rejection.

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    journal_title:Transplantation proceedings

    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2011.03.043

    authors: Wan R,Ying W,Zeng L,Deng X,Chen H,Gao L

    更新日期:2011-06-01 00:00:00

  • Clinical Accuracy of Average Creatinine and Cystatin-C-Based Estimated GFR in Japanese Living Renal Transplantation Donors.

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    pub_type: 杂志文章

    doi:10.1016/j.transproceed.2020.06.013

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    更新日期:2020-12-01 00:00:00