Goulet O
Service de Gastroentérologie et Nutrition Pédiatriques, Hôpital Necker-Enfants Malades, Paris, France.
Curr Opin Clin Nutr Metab Care. 1999 Jul;2(4):315-21. doi: 10.1097/00075197-199907000-00012.
Intestinal transplantation might become the alternative to definitive parenteral nutrition in patients with permanent intestinal failure. Indeed, recent advances in immunosuppressive treatment and better monitoring and control of acute rejection have brought intestinal transplantation into the realms of standard treatment of intestinal failure. This procedure may be performed in adult or paediatric patients under certain conditions. This short review focuses on the current clinical results and indications for intestinal transplantation and discusses the strategy regarding this challenging procedure.
对于永久性肠衰竭患者，肠道移植可能会成为确定性肠外营养的替代方案。事实上，免疫抑制治疗的最新进展以及对急性排斥反应更好的监测和控制已将肠道移植带入了肠衰竭标准治疗的范畴。在某些条件下，该手术可在成人或儿科患者中进行。这篇简短的综述聚焦于肠道移植的当前临床结果和适应证，并讨论了关于这一具有挑战性手术的策略。
