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We report a patient with short gut syndrome successfully treated with living related bowel transplantation. A 27-year-old Caucasian man was referred after traumatic loss of almost the entire bowel from the third portion of duodenum to the sigmoid colon. His HLA-identical sister volunteered as a donor. A 200-cm segment of ileum was successfully transplanted under tacrolimus-based immunosuppression. The posttransplant course was uneventful, without rejection or infectious complication. Total parenteral nutrition was discontinued 1 week posttransplant. At 6 months the patient had returned to his preinjury weight. Water and D-xylose absorption as well as fecal fat studies were markedly abnormal 1 month posttransplant but normalized by 6 months. The donor recovery was uneventful. A well-matched segmental ileal graft from living donor can provide complete rehabilitation for patients with short gut syndrome. We documented a progressive functional adaptation of the ileal graft, resulting in normal absorption by 5 months posttransplantation.
E Benedetti, and
C Baum, and
L Cicalese, and
M Brown, and
V Raofi, and
M G Massad, and
H Abcarian
December 1980,
Transplantation proceedings,
E Benedetti, and
C Baum, and
L Cicalese, and
M Brown, and
V Raofi, and
M G Massad, and
H Abcarian
November 2006,
Annals of surgery,
E Benedetti, and
C Baum, and
L Cicalese, and
M Brown, and
V Raofi, and
M G Massad, and
H Abcarian
June 1993,
Transplantation proceedings,
E Benedetti, and
C Baum, and
L Cicalese, and
M Brown, and
V Raofi, and
M G Massad, and
H Abcarian
May 2002,
Transplantation proceedings,
E Benedetti, and
C Baum, and
L Cicalese, and
M Brown, and
V Raofi, and
M G Massad, and
H Abcarian
January 2001,
Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract,
E Benedetti, and
C Baum, and
L Cicalese, and
M Brown, and
V Raofi, and
M G Massad, and
H Abcarian
March 1997,
Transplantation,
E Benedetti, and
C Baum, and
L Cicalese, and
M Brown, and
V Raofi, and
M G Massad, and
H Abcarian
February 1969,
Journal of pediatric surgery,
E Benedetti, and
C Baum, and
L Cicalese, and
M Brown, and
V Raofi, and
M G Massad, and
H Abcarian
November 2004,
Annals of surgery,
E Benedetti, and
C Baum, and
L Cicalese, and
M Brown, and
V Raofi, and
M G Massad, and
H Abcarian
October 1992,
Transplantation proceedings,
E Benedetti, and
C Baum, and
L Cicalese, and
M Brown, and
V Raofi, and
M G Massad, and
H Abcarian
April 1994,
Transplantation,
