A new technique for combined liver/small intestinal transplantation

Debra L. Sudan, Kishore R. Iyer, Arnaud Deroover, Srinath Chinnakotla, Ira J. Fox, Byers W. Shaw, Alan Norman Langnas

Research output: Contribution to journalArticle

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Abstract

The most common application of small bowel transplantation is for the patient with parenteral nutrition-induced liver failure. In this setting, the small intestine is transplanted simultaneously with the liver. We identified three technical problems that we believe contributed to complications in our first eight patients. First, pancreaticoduodenectomy was challenging in the infant donor. Second, the bowel graft was prone to volvulus around the skeletonized donor portal vein. Third, in the pediatric recipient, use of the donor bowel for Roux-en-Y biliary reconstruction was associated with biliary leaks in the early postoperative period. Our surgical technique of liver/small bowel (L/SB) transplantation has evolved since our early experience in 1990. Modifications in the L/SB operation, reported briefly in 1996 and 1997, have led to easier graft preparation and have reduced the incidence of technical complications.

Original languageEnglish (US)
Pages (from-to)1846-1848
Number of pages3
JournalTransplantation
Volume72
Issue number11
DOIs
StatePublished - Dec 15 2001

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Transplantation
Tissue Donors
Liver
Intestinal Volvulus
Pancreaticoduodenectomy
Parenteral Nutrition
Liver Failure
Portal Vein
Postoperative Period
Small Intestine
Pediatrics
Transplants
Incidence
beta-tricalcium phosphate

ASJC Scopus subject areas

  • Transplantation

Cite this

Sudan, D. L., Iyer, K. R., Deroover, A., Chinnakotla, S., Fox, I. J., Shaw, B. W., & Langnas, A. N. (2001). A new technique for combined liver/small intestinal transplantation. Transplantation, 72(11), 1846-1848. https://doi.org/10.1097/00007890-200112150-00025

A new technique for combined liver/small intestinal transplantation. / Sudan, Debra L.; Iyer, Kishore R.; Deroover, Arnaud; Chinnakotla, Srinath; Fox, Ira J.; Shaw, Byers W.; Langnas, Alan Norman.

In: Transplantation, Vol. 72, No. 11, 15.12.2001, p. 1846-1848.

Research output: Contribution to journalArticle

Sudan, DL, Iyer, KR, Deroover, A, Chinnakotla, S, Fox, IJ, Shaw, BW & Langnas, AN 2001, 'A new technique for combined liver/small intestinal transplantation', Transplantation, vol. 72, no. 11, pp. 1846-1848. https://doi.org/10.1097/00007890-200112150-00025
Sudan DL, Iyer KR, Deroover A, Chinnakotla S, Fox IJ, Shaw BW et al. A new technique for combined liver/small intestinal transplantation. Transplantation. 2001 Dec 15;72(11):1846-1848. https://doi.org/10.1097/00007890-200112150-00025
Sudan, Debra L. ; Iyer, Kishore R. ; Deroover, Arnaud ; Chinnakotla, Srinath ; Fox, Ira J. ; Shaw, Byers W. ; Langnas, Alan Norman. / A new technique for combined liver/small intestinal transplantation. In: Transplantation. 2001 ; Vol. 72, No. 11. pp. 1846-1848.
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