Mangus R, Vianna R, Tector A
Clarian Transplant Institute, Department of Surgery, Indiana University, School of Medicine, Indianapolis, IN, USA.
Minerva Chir. 2009 Feb;64(1):45-57.
Intestinal transplantation is just now beginning to emerge as a viable therapeutic option for the large number of patients worldwide with intestinal failure. Intestinal transplantation has experienced consistent growth over the last decade as clinical outcomes have improved. As more centers gain experience in performing and managing these complex transplant patients, referral patterns are established to facilitate the movement of patients to those centers with expertise in this area. As these intestinal transplant centers evolve, indications for intestinal transplantation will change and more patients will be helped. It is critical that general surgeons and gastroenterologists are familiar with the field of intestinal transplantation, as many of their most difficult patients may derive great benefit from this option.
肠道移植刚刚开始成为全球大量肠衰竭患者可行的治疗选择。在过去十年中，随着临床结果的改善，肠道移植一直在持续发展。随着越来越多的中心在治疗和管理这些复杂的移植患者方面积累经验，转诊模式得以确立，以便将患者转至在该领域具有专业知识的中心。随着这些肠道移植中心的不断发展，肠道移植的适应症将会改变，更多患者将从中受益。普通外科医生和胃肠病学家熟悉肠道移植领域至关重要，因为他们许多病情最严重的患者可能会从这一选择中受益匪浅。
