Combined small bowel and reduced auxiliary liver transplantation:case report
Combined small bowel and reduced auxiliary liver transplantation:case report作者机构：Institute of Organ Transplantation Tongji Hospital Huazhong University of Science and Technology Wuhan 430030 Hubei Province China. wjzhang@***
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2002年第8卷第5期
页 面：956-960页
核心收录：
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：小肠移植 肝移植 病例 短肠综合征 TPN相关性肝功能不良 合并症
摘 要：AIM: To present a case of combined small bowel andreduced auxiliary liver ***: A 55-year-old patient with short bowelsyndrome and TPN-related liver dysfunction received smallbowel transplantation combined with a reduced auxiliaryliver graft. A liver was added to restore the patient′s liverfunction and to protect the intestinal allograft from *** own liver was not ***: Without donor pretreatment and by conventionalimmunosuppresive therapy following transplantation, thepatient experienced had only one episode of mild intestinalrejection, which was easily reversed by treatment withMethylprednisolone. No liver rejection ***, the patient died of heart and lung failure30d after transplantation, despite successful graftreplacement. Histopathologic examination of specimens afterdeath demonstrated normal structure in both intestinal andliver ***: The auxiliary liver graft might play a role inpreventing intestinal allograft rejection. However, theobservation period in this case is short. Further study isneeded to determine the risks, effect on the protecting thesmall-bowel from rejection, and feasibility of generalapplication of this procedure.
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