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Non-anatomical intestinal transplantation.
- Source :
-
Revista espanola de enfermedades digestivas [Rev Esp Enferm Dig] 2009 Feb; Vol. 101 (2), pp. 139-41, 141-3. - Publication Year :
- 2009
-
Abstract
- Introduction: Intestinal transplantation is the only long-range treatment option for patients with intestinal failure. We report an exceptional case of isolated intestinal transplantation with the implant in a non-anatomical position.<br />Clinical Case: The patient was a thirty-eight-year-old man (60 kg weight, 180 cm height, 18.3 body mass index) with intestinal failure and home parenteral nutrition due to a short-bowel syndrome for which intestinal transplantation was indicated. The patient had a vascular malformation with the cava vein located left to the aorta, and the intestine was implanted with a 180 masculine rotation around the mesenteric axis, so that the implant s superior mesenteric artery and vein matched the recipient s cava and aorta. Postoperative follow-up was excellent and the patient was discharged after six weeks with a 10-kg gain in body weight.<br />Discussion: This non-anatomical intestinal implantation of the small bowel, previously unreported, offers technical advantages over other options. Adequate intestinal function represents a unique model to prove the viability of intestinal implants in a non-anatomical position.
- Subjects :
- Adult
Aorta abnormalities
Colectomy
Gastrostomy
Humans
Immunosuppressive Agents
Intestine, Small surgery
Jejunostomy
Lymphocyte Depletion
Male
Obesity, Morbid surgery
Parenteral Nutrition
Peptic Ulcer Hemorrhage complications
Postoperative Complications
Rotation
Stomach Ulcer complications
Venae Cavae abnormalities
Intestinal Volvulus surgery
Intestine, Small transplantation
Short Bowel Syndrome surgery
Subjects
Details
- Language :
- English; Spanish; Castilian
- ISSN :
- 1130-0108
- Volume :
- 101
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Revista espanola de enfermedades digestivas
- Publication Type :
- Academic Journal
- Accession number :
- 19335051
- Full Text :
- https://doi.org/10.4321/s1130-01082009000200009