Non-anatomical intestinal transplantation

Ramón Charco, C. Malagelada, L. Llopart, J. Bueno, I. Bilbao, M. Caralt, R. Vilallonga, J. Gavaldá, J. Dot, M. Abu-Suboh, M. Planas, A. Accarino, J. R. Armengol-Miró, F. Azpiroz

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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. 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° rotation around the mesenteric axis, so that the implant's superior mesenteric artery and vein matched the recipient's cava and aorta. Post-operative follow-up was excellent and the patient was discharged after six weeks with a 10-kg gain in body weight. 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 nonanatomical position. Copyright © 2009 Arán Ediciones, S. L.
Original languageEnglish
Pages (from-to)139-143
JournalRevista Espanola de Enfermedades Digestivas
Volume101
Issue number2
DOIs
Publication statusPublished - 1 Jan 2009

Keywords

  • Intestinal transplantation
  • Thymoglobulin
  • Vascular transposition

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    Charco, R., Malagelada, C., Llopart, L., Bueno, J., Bilbao, I., Caralt, M., Vilallonga, R., Gavaldá, J., Dot, J., Abu-Suboh, M., Planas, M., Accarino, A., Armengol-Miró, J. R., & Azpiroz, F. (2009). Non-anatomical intestinal transplantation. Revista Espanola de Enfermedades Digestivas, 101(2), 139-143. https://doi.org/10.4321/S1130-01082009000200009