The First Intestinal-Multivisceral Transplant in Poland - A Case Report

• Authors: Piotr Kaliciński , Andrzej Kamiński , Małgorzata Markiewicz-Kijewska , Tomasz Drewniak , Małgorzata Manowska , Jarosław Kierkuś , Przemysław Kluge
• Languages of publication: EN

Abstracts

EN

Intestinal transplantation is becoming more and more successful due to improved surgical techniques, immunosuppression medication and postoperative intensive care. It can be performed as an isolated transplantation or as part of a multivisceral graft including the liver in cases of associated liver cirrhosis requiring total parenteral nutrition (TPN). The authors describe the first intestinal and multivisceral (liver, small bowel, duodenum and pancreas) transplantation in Poland performed in an 11-month old infant with short bowel syndrome and TPN related liver failure. A composite graft was harvested from a deceased 4-month old infant. All transplanted organs showed good function; however, the recipient died of infectious complications one month after transplantation.

Keywords

EN

composite multivisceral transplantation; intestinal transplantation; intestinal failure; liver insufficiency; multiorgan transplantation

• Publisher: Index Copernicus International
• Journal: Polish Journal of Surgery
• Year: 2007
• Volume: 79
• Issue: 2
• Pages: 120-125

Dates

published

1 - 2 - 2007

online

24 - 9 - 2007

Contributors

author

Piotr Kaliciński

• The Department of Pediatric Surgery and Organ Transplantation, The Children's Memorial Health Institute, Warsaw

author

Andrzej Kamiński

• The Department of Pediatric Surgery and Organ Transplantation, The Children's Memorial Health Institute, Warsaw

author

Małgorzata Markiewicz-Kijewska

• The Department of Pediatric Surgery and Organ Transplantation, The Children's Memorial Health Institute, Warsaw

author

Tomasz Drewniak

• The Department of Pediatric Surgery and Organ Transplantation, The Children's Memorial Health Institute, Warsaw

author

Małgorzata Manowska

• Department of Anesthesiology and Intensive Care, The Children's Memorial Health Institute, Warsaw

author

Jarosław Kierkuś

• Department of Gastroenterology, Hepatology and Immunology, The Children's Memorial Health Institute, Warsaw

author

Przemysław Kluge

• Department of Pathology, The Children's Memorial Health Institute, Warsaw

References

• Reyes J, Bueno J, Kocoshis S et al.: Current status of intestinal transplantation in children. J Ped Surg 1998; 32: 243-54.
• Nishida S, Levi D, Kato T et al.: Ninety-five cases of intestinal transplantation at the University of Miami. J Gastroinestina Surg 2002; 6: 233-39.
• Kato T, Gaynor J, Selvaggi G et al.: Intestinal transplantation in children: a summary of clinical outcomes and prognostic factors in 108 patients from a single center. J Gastrointestinal Surg 2005; 9: 75-89.
• Kato T, Nishida S, Tzakis A: Small bowel and multivisceral transplantations. Transplantation Reviews 2005; 19: 47-54.
• Loinaz C, Kato T, Nishida S et al.: Bacterial infections after intestine and multivisceral transplantation. Trans Proc 2003; 35: 1929-30.
• Reyes J, Mazariegos GV, Bond GMD et al.: Pediatric intestinal transplantation: historical notes, principles and controversies. Pediatr Transplantation 2002; 6: 193-207.

Identifiers

DOI

10.2478/v10035-007-0019-5