Gilroy R, Sudan D
Division of Hepatology and Transplantation, University of Nebraska Medical Center, Omaka, USA.
Semin Liver Dis. 2000;20(4):437-50. doi: 10.1055/s-2000-13151.
Intestinal transplantation is an established life-saving therapy for parenteral nutrition dependent patients suffering from severe complications of parenteral nutrition. Improvements in outcomes over the last decade have occurred with refinements in surgical technique, better immunosuppressive regimens, and clinical experience. The long-term results of intestinal transplantation are not well known and morbidity remains an important obstacle to wider application of this procedure to patients with short bowel syndrome (SBS). This article reviews the indications for intestinal transplantation, the evaluation of potential candidates, therapeutic considerations, postoperative management and common complications experienced by the recipients.
肠道移植是一种已确立的挽救生命的治疗方法，用于治疗依赖肠外营养且患有严重肠外营养并发症的患者。在过去十年中，随着手术技术的改进、更好的免疫抑制方案以及临床经验的积累，治疗效果有所改善。肠道移植的长期结果尚不清楚，发病率仍然是将该手术更广泛应用于短肠综合征（SBS）患者的一个重要障碍。本文综述了肠道移植的适应证、潜在候选者的评估、治疗考虑因素、术后管理以及受者常见的并发症。
