Indications for Intestinal Transplantation.

Kishore R Iyer

Journal: Gastroenterology clinics of North America 2024;53(2):233-244

PMID: 38719375

Full Text on Elsevier Science View on PubMed

Abstract

Outcomes for patients with chronic intestinal failure have improved with organization of experts into multidisciplinary teams delivering care in intestinal rehabilitation programs. There have been improvements in understanding of intestinal failure complications as well as development of newer therapies that have amplified the improvements in survival. In spite of this encouraging trend, patients who fail PN are often referred too late for intestinal transplantation. The author proposes a more rational framework that might allow earlier identification of intestinal failure patients at risk for PN-failure, who could appropriately be considered earlier for intestinal transplantation with improvements in overall outcomes.

Address: Intestinal Rehabilitation & Transplant Program, Icahn School of Medicine at Mount Sinai and Mount Sinai Hospital, One Gustave Levy Place, Box 1104, New York 10029, USA. Electronic address: [email protected].

DOI: 10.1016/j.gtc.2024.02.001

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MeSH Terms: Humans, Intestines, Intestinal Failure, Parenteral Nutrition, Patient Selection