A new technique for combined liver/small intestinal transplantation.

Journal Article

The most common application of small bowel transplantation is for the patient with parenteral nutrition-induced liver failure. In this setting, the small intestine is transplanted simultaneously with the liver. We identified three technical problems that we believe contributed to complications in our first eight patients. First, pancreaticoduodenectomy was challenging in the infant donor. Second, the bowel graft was prone to volvulus around the skeletonized donor portal vein. Third, in the pediatric recipient, use of the donor bowel for Roux-en-Y biliary reconstruction was associated with biliary leaks in the early postoperative period. Our surgical technique of liver/small bowel (L/SB) transplantation has evolved since our early experience in 1990. Modifications in the L/SB operation, reported briefly in 1996 and 1997, have led to easier graft preparation and have reduced the incidence of technical complications.

Full Text

Duke Authors

Cited Authors

  • Sudan, DL; Iyer, KR; Deroover, A; Chinnakotla, S; Fox, IJ; Shaw, BW; Langnas, AN

Published Date

  • December 15, 2001

Published In

Volume / Issue

  • 72 / 11

Start / End Page

  • 1846 - 1848

PubMed ID

  • 11740401

Pubmed Central ID

  • 11740401

International Standard Serial Number (ISSN)

  • 0041-1337

Digital Object Identifier (DOI)

  • 10.1097/00007890-200112150-00025


  • eng

Conference Location

  • United States