Gottrand F, Michaud L, Bonnevalle M, Dubar G, Pruvot F R, Turck D
Unité de Gastroentérologie, Hépatologie et Nutrition, Clinique de Pédiatrie, Hôpital Jeanne de Flandre, Lille, France.
Transplantation. 1999 Feb 27;67(4):632-4. doi: 10.1097/00007890-199902270-00025.
A patient with short gut syndrome presented with end-stage liver disease. She underwent an isolated liver transplantation at the age of 3.5 years. Parenteral nutrition was discontinued 1.5 years after surgery. At 7 years of age, the patient has maintained normal nutritional indices and growth while on a normal oral diet. This observation suggests that liver transplantation alone can be a valuable alternative to the combined small bowel/liver transplantation in short bowel syndrome when intestinal adaptation is expected and if the ileocecal valve is present and that improvement of gut function can occur after successful liver transplantation.
一名短肠综合征患者出现终末期肝病。她在3.5岁时接受了单纯肝移植。术后1.5年停止肠外营养。7岁时，患者在正常口服饮食情况下维持了正常的营养指标和生长发育。这一观察结果表明，在预期肠道能适应且存在回盲瓣的情况下，对于短肠综合征患者，单纯肝移植可能是小肠/肝联合移植的一种有价值的替代方案，并且成功进行肝移植后肠道功能可能会改善。
