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Background. Two children with life-threatening disorders underwent intestinal transplantation;
one multivisceral transplantation excluding the liver, and the second transplantation
of the liver, small bowel, and colon.
Methods. Involvement of the native rectum necessitated resection and replacement with the
transplanted allograft. To prevent a permanent colostomy, a pull-through of the allograft
colon was performed.
Results. Both patients had a stormy early postoperative course, mainly because of the complexities
of intestinal transplantation, but with eventual recovery, including improvement of
rectal function.
Conclusions. These are the first two known cases in which a transplanted large intestine was used
for a pull-through procedure.
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References
- Intestinal transplantation at the University of Pittsburgh.in: Transplant Proc. 26. 1994: 1409-1410
- Intestinal transplantation in children under FK 506 immunosuppression.J Pediatr Surg. 1993; 28: 1040-1043
- Logistics and technique for combined hepatic-intestinal retrieval.Ann Surg. 1992; 216: 85-89
- The many faces of multivisceral transplantation.Surg Gynecol Obstet. 1991; 172: 335-344
- Anal ileostomy with preservation of the sphincter: a proposed operation in patients requiring total colectomy for benign lesions.Surg Gynecol Obstet. 1947; 84: 1095-1099
- Hirschsprung's disease: a new surgical technique.Arch Dis Child. 1964; 39: 116-124
Article info
Publication history
Accepted:
September 14,
1994
Footnotes
*Supported by research grants from the Veterans Administration and project grant no. DK 29961 from the National Institutes of Health, Bethesda, Md.
Identification
Copyright
© 1995 Mosby-Year Book, Inc. Published by Elsevier Inc.
