The clinical living-related small bowel transplantation: a report of 1 case

Abstract

Objective To report the first case of living-related small bowel transplantation in China . Methods An 18-year-old boy with short gut syndrome underwent the living-related small bowel transplantation, and the donor was his father (44-year-old). A segment of 150 cm distal small bowel was resected from the donor and the graft's vascula ture was infused with UW solution. The donor's ilecolic artery and vein were ana stomosed to the recipient's infrarenal aorta and cava respectively. The intestin al continuity was restored with an end-to-end anastomosis between the recipien t's jejunum and the donor's ileum, and the distal end was made as the fistulizat ion. Treatment of immunosuppression, antibiotics, antithrombosis and nutrition s upport was given posttransplantation. Results After operation, the complication s such as herpes simplex virus infection, intestinal hemorrhage and acute reject ion occurred in the recipient, but they were all handled properly and brought un der control. Now, the patients enjoy good health to date, the 14th month since t he transplantation. Conclusion Living-related small bowel transplantation is the good treatment for the shor t gut syndrome.