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Endoscopic Surveillance of the Intestinal Allograft: Recommendations From the Intestinal Rehabilitation and Transplant Association Working Group.

Publication ,  Journal Article
Garcia, J; Oltean, M; Rumbo, C; Sharkey, L; Kaufman, SS; Ramos Boluda, E; Gupte, G; Martinez, M; Moon, J; Raghu, V; Segovia, MC; Sudan, D ...
Published in: Transplantation
April 1, 2024

Intestinal transplant (ITx) rejection lacks a reliable noninvasive biomarker and rejection surveillance relies on serial endoscopies and mucosal biopsies followed by histologic assessment. Endoscopic biopsies are also essential for identifying other ITx-related complications such as infectious, allergic, and inflammatory graft enteritis as well as post-transplant lymphoproliferative disease or graft versus host disease. In spite of its central role in ITx, published guidelines on endoscopy and biopsy are lacking and significant variability between centers in terms of timing and technical performance exists. Therefore, an international expert group convened and discussed several aspects related to the surveillance endoscopy after ITx with the aim to summarize and standardize its practice. This article summarizes these considerations on endoscopic ITx monitoring and highlights practices of surveillance and for-cause endoscopy, biopsy techniques, pathologic evaluation, potential risks and complications, outsourcing, and less-invasive monitoring techniques.

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Published In

Transplantation

DOI

EISSN

1534-6080

Publication Date

April 1, 2024

Volume

108

Issue

4

Start / End Page

827 / 835

Location

United States

Related Subject Headings

  • Transplantation, Homologous
  • Surgery
  • Intestines
  • Intestinal Diseases
  • Humans
  • Graft Rejection
  • Endoscopy, Gastrointestinal
  • Allografts
  • 3204 Immunology
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Garcia, J., Oltean, M., Rumbo, C., Sharkey, L., Kaufman, S. S., Ramos Boluda, E., … Venick, R. (2024). Endoscopic Surveillance of the Intestinal Allograft: Recommendations From the Intestinal Rehabilitation and Transplant Association Working Group. Transplantation, 108(4), 827–835. https://doi.org/10.1097/TP.0000000000004785
Garcia, Jennifer, Mihai Oltean, Carolina Rumbo, Lisa Sharkey, Stuart S. Kaufman, Esther Ramos Boluda, Girish Gupte, et al. “Endoscopic Surveillance of the Intestinal Allograft: Recommendations From the Intestinal Rehabilitation and Transplant Association Working Group.Transplantation 108, no. 4 (April 1, 2024): 827–35. https://doi.org/10.1097/TP.0000000000004785.
Garcia J, Oltean M, Rumbo C, Sharkey L, Kaufman SS, Ramos Boluda E, et al. Endoscopic Surveillance of the Intestinal Allograft: Recommendations From the Intestinal Rehabilitation and Transplant Association Working Group. Transplantation. 2024 Apr 1;108(4):827–35.
Garcia, Jennifer, et al. “Endoscopic Surveillance of the Intestinal Allograft: Recommendations From the Intestinal Rehabilitation and Transplant Association Working Group.Transplantation, vol. 108, no. 4, Apr. 2024, pp. 827–35. Pubmed, doi:10.1097/TP.0000000000004785.
Garcia J, Oltean M, Rumbo C, Sharkey L, Kaufman SS, Ramos Boluda E, Gupte G, Martinez M, Moon J, Raghu V, Segovia MC, Sudan D, Talbotec C, Varkey J, Gondolesi GE, Mazariegos G, Venick R. Endoscopic Surveillance of the Intestinal Allograft: Recommendations From the Intestinal Rehabilitation and Transplant Association Working Group. Transplantation. 2024 Apr 1;108(4):827–835.

Published In

Transplantation

DOI

EISSN

1534-6080

Publication Date

April 1, 2024

Volume

108

Issue

4

Start / End Page

827 / 835

Location

United States

Related Subject Headings

  • Transplantation, Homologous
  • Surgery
  • Intestines
  • Intestinal Diseases
  • Humans
  • Graft Rejection
  • Endoscopy, Gastrointestinal
  • Allografts
  • 3204 Immunology
  • 3202 Clinical sciences