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印度首例成功的肠道移植:历程与经验教训

India's first successful intestinal transplant: the road traveled and the lessons learnt.

作者信息

Soin A S, Mohanka R, Saraf N, Rastogi A, Goja S, Menon B, Vohra V, Saigal S, Sud R, Kumar D, Bhangui P, Ramachandra S, Singla P, Shetty G, Raghvendra K, Elmagd Kareem M Abu

机构信息

Medanta Institute of Liver Diseases and Transplantation, Medanta-The Medicity, Sector 38, Gurgaon, Haryana, 122 001, India,

出版信息

Indian J Gastroenterol. 2014 Mar;33(2):104-13. doi: 10.1007/s12664-013-0437-8. Epub 2014 Feb 7.

DOI:10.1007/s12664-013-0437-8
PMID:24500752
Abstract

Intestinal transplant is a therapeutic challenge not just surgically but also logistically because of the multidisciplinary expertise and resources required. A large proportion of patients who undergo massive bowel resection and develop intestinal failure have poor outcome, because of inability to sustain long-term parenteral nutrition and limited availability of intestinal and multi-visceral transplantation facilities. We report the first successful isolated intestinal transplant from India.

摘要

由于所需的多学科专业知识和资源,肠道移植不仅在手术方面,而且在后勤方面都是一项治疗挑战。接受大规模肠切除并出现肠衰竭的患者中,很大一部分预后不佳,原因是无法维持长期肠外营养,以及肠道和多脏器移植设施的可用性有限。我们报告了印度首例成功的孤立性肠道移植。

相似文献

1
India's first successful intestinal transplant: the road traveled and the lessons learnt.印度首例成功的肠道移植:历程与经验教训
Indian J Gastroenterol. 2014 Mar;33(2):104-13. doi: 10.1007/s12664-013-0437-8. Epub 2014 Feb 7.
2
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J Pediatr Surg. 2013 Aug;48(8):1794-805. doi: 10.1016/j.jpedsurg.2013.05.018.
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[Intestinal transplantation--an experimental therapy which has become a realistic alternative].[肠道移植——一种已成为切实可行替代方案的实验性疗法]
Lakartidningen. 2004 Sep 16;101(38):2874-8.
4
[Indications, techniques, and outcomes of small bowel transplant].[小肠移植的适应症、技术及结果]
Nutr Hosp. 2007 May;22 Suppl 2:113-23.
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Serial transverse enteroplasty is associated with successful short-term outcomes in infants with short bowel syndrome.连续横向肠成形术与短肠综合征婴儿的短期成功预后相关。
J Pediatr Surg. 2005 Jun;40(6):1019-23; discussion 1023-4. doi: 10.1016/j.jpedsurg.2005.03.020.
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Small bowel transplant: an evidence-based analysis.小肠移植:基于证据的分析。
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Current treatment paradigms in pediatric short bowel syndrome.小儿短肠综合征的当前治疗模式。
Clin J Gastroenterol. 2018 Apr;11(2):103-112. doi: 10.1007/s12328-017-0811-7. Epub 2017 Dec 26.
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Nutritional Issues in the Short Bowel Syndrome - Total Parenteral Nutrition, Enteral Nutrition and the Role of Transplantation.短肠综合征中的营养问题——全肠外营养、肠内营养及移植的作用
Nestle Nutr Inst Workshop Ser. 2015;82:75-90. doi: 10.1159/000382005. Epub 2015 Oct 20.

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本文引用的文献

1
Living donor intestinal transplant using a standardized technique: first report from India.采用标准化技术的活体供体肠道移植:来自印度的首例报告。
Indian J Gastroenterol. 2012 Jul;31(4):179-85. doi: 10.1007/s12664-012-0242-9. Epub 2012 Sep 5.
2
MASS HOMOTRANSPLANTATION OF ABDOMINAL ORGANS IN DOGS.犬腹部器官的大规模同种移植
Surg Forum. 1960;11:28-30.
3
Five hundred intestinal and multivisceral transplantations at a single center: major advances with new challenges.单中心 500 例肠多器官联合移植:新挑战下的重大进展。
Ann Surg. 2009 Oct;250(4):567-81. doi: 10.1097/SLA.0b013e3181b67725.
4
NOD2-expressing bone marrow-derived cells appear to regulate epithelial innate immunity of the transplanted human small intestine.表达NOD2的骨髓来源细胞似乎可调节移植的人小肠的上皮固有免疫。
Gut. 2008 Mar;57(3):323-30. doi: 10.1136/gut.2007.133322. Epub 2007 Oct 26.
5
Liver and intestine transplantation: summary analysis, 1994-2003.肝脏与肠道移植:1994 - 2003年总结分析
Am J Transplant. 2005 Apr;5(4 Pt 2):916-33. doi: 10.1111/j.1600-6135.2005.00839.x.
6
Living related small bowel transplantation: donor surgical technique.活体亲属小肠移植:供体手术技术
Ann Surg. 2004 Nov;240(5):779-84. doi: 10.1097/01.sla.0000143266.59408.d7.
7
The current state of intestinal transplantation.肠道移植的现状
Transplantation. 2004 Jul 27;78(2):175-8. doi: 10.1097/01.tp.0000125133.21993.f1.
8
Isolated adult intestinal transplantation using portal venous drainage.采用门静脉引流的成人孤立性肠道移植。
Transplant Proc. 2004 Mar;36(2):305-8. doi: 10.1016/j.transproceed.2003.12.018.
9
Homografts of the small bowel.
Surg Forum. 1960;10:197-201.
10
Isolated intestinal transplantation: proof of clinical efficacy.孤立性肠道移植:临床疗效的证据
Transplantation. 2003 Aug 27;76(4):636-40. doi: 10.1097/01.TP.0000083042.03188.6C.