Abstract
Case 1 A 23 year-old male, who underwent surgery for intestinal malrotation at 15 days of age, presented with mid-bowel volvulus, which led to occlusion of the SMA territory and required total enterectomy. Six months later, intestinal tract reconstruction with duodenocolic anastomosis was performed. After a failed rehabilitation attempt with PN and multiple central catheter-related infections, he underwent IT in December 2017 with a graft composed solely of the small bowel. The surgery lasted 7 hours and 27 minutes. On [...]
Highlights
The advent of PN has contributed to longer survival and better quality of life (QoL) for these patients; the prolonged use of PN can lead to complications that may result in failure of nutritional therapy, infections, and vein thrombosis
From 1964 to 1970, eight other attempts were made in this direction, but the results were poor, with only one patient surviving for more than 30 days [7]
In 2001, intestinal transplantation (IT) was accepted in the USA as a therapeutic modality for patients with irreversible intestinal failure who had complications related to PN
Summary
The advent of PN has contributed to longer survival and better quality of life (QoL) for these patients; the prolonged use of PN can lead to complications that may result in failure of nutritional therapy, infections, and vein thrombosis. This new medication led to a significant improvement in the survival rates of transplant patients and organs because of better rejection control. High-risk patients received CMV Ig 150 mg/kg within 72 hours of transplantation, every alternate week for 8 weeks, and monthly for 1 year (15 doses total).
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