Ex Vivo Surgery and Multivisceral Transplantation
Intestinal and Multivisceral Transplantation
By transplanting several organs at once, we can give patients with serious intestinal malformations or infections hope for a healthy future. The Intestinal Failure Program at Morgan Stanley Children's Hospital has managed nearly 100 patients with devastating intestinal problems in recent years. The team includes dedicated specialists in pediatric surgery and transplantation; pediatric gastrointestinal medicine and nutrition; advanced practice nursing; and child life and social support services. This range of services, essential to helping these children and their families cope with overwhelming health problems, is only available at a world's leading children's hospital.
Intestinal or 'short bowel' transplantation is now recognized as a viable option for irreversible intestinal failure or short bowel syndrome. Patients who develop intestinal failure can become candidates for intestinal transplantation if life threatening complications are present or if bowel rehabilitation is impossible due to the congenital nature of the intestinal disease.
Intestinal transplantation is frequently associated with liver transplantation. Certain diseases, such as biliary atresia, and the use of total parenteral nutrition (TPN) for conditions such as short bowel syndrome, can contribute to liver failure. If the child has both intestinal and liver failure, intestinal transplantation may be performed in conjunction with liver transplantation. If the patient does not have liver failure, isolated intestinal transplantation may be performed while leaving the liver in place. Multivisceral transplantation may be considered if the patient's condition involves failure of multiple abdominal organs, with or without transplanting the liver.
Our experience with small bowel transplant spans two decades, including surgery on a four-month old girl, who today, at 18, is the longest survivor of a small bowel transplant in the world.
Dr. Tomoaki Kato – What is intestinal and multivisceral transplantation?
Dr. Tomoaki Kato – What happens during an intestinal and multivisceral transplant operation?
Dr. Tomoaki Kato – Who requires an intestinal and multivisceral transplantation?
Dr. Tomoaki Kato – Who is a good candidate for intestinal and multivisceral transplantation?