Modified surgical technique in clinical small bowel transplantation: donor and recipient management

Primer trasplante de intestino en Chile: Caso clínico

“…La incidencia reportada de rechazo agudo es de 85%, con hasta 20% de pérdida de injerto por esta causa 13,14 . La intensificación en la inmunosupresión para el manejo del rechazo predispone al paciente a sepsis por gérmenes oportunistas, infección por CMV y aparición de enfermedad linfoproliferativa postrasplante (PTLD) 8,15 .…”

Iliac Approach for Vascularization of an Intestinal Graft at Retransplantation

“…The idea to use this vessel is not new in itself (4) because it has been previously reported in patients undergoing ITx with the colon still in place (5). The vessel is large enough to sustain an adequate arterial supply for the intestinal graft and this artery is in a position not affected by massive adherences.…”

“…The problem of de novo HCC is a relatively new one, that is likely to become more relevant given the increasing number of long-term survivors, the rising incidence of hepatitis C induced liver cirrhosis (4) and the high rate of hepatitis C re-infection posttransplantation (5). Furthermore, management of immunosuppression in such cases should also be a topic of discussion.…”

Technik der Multiorganentnahme

“…Zuletzt erfolgt die Durchtrennung der infrahepatischen V. cava unmittelbar kranial der Einmündung der rechten Nierenvene. Am back- beeinträchtigt und die Transplantatfunktion stört [28,29]. Das Mesokolon wird entlang des Colon ascendens durchtrennt, um die ileokolischen Gefäûe zu schonen.…”