title: Human orthotopic small intestine transplantation: radiologic assessment.
abstract: The authors describe the postoperative anatomy and review the radiologic examinations of five patients who underwent orthotopic small intestine or combined orthotopic liver and small intestine transplantation. Mucosal thickening of the transplanted intestine was demonstrated on the first postoperative contrast material-enhanced images and was due to submucosal edema. This resolved within 2 weeks in the long-term survivors. Bowel peristalsis appeared normal as early as 31 days after transplantation. Contrast-enhanced examinations of the intestine were useful to exclude surgical complications such as anastomotic leaks or strictures, but were insensitive for biopsy-proved cytomegalovirus enteritis or rejection.
authors.affiliation: Department of Diagnostic Radiology, University Hospital, University of Western Ontario, London, Canada.
authors.forename: D B
authors.initials: DB
authors.lastname: Bach
authors.forename: D J
authors.initials: DJ
authors.lastname: Hurlbut
authors.forename: W M
authors.initials: WM
authors.lastname: Romano
authors.forename: F R
authors.initials: FR
authors.lastname: Sutherland
authors.forename: B M
authors.initials: BM
authors.lastname: Garcia
authors.forename: W J
authors.initials: WJ
authors.lastname: Wall
authors.forename: C N
authors.initials: CN
authors.lastname: Ghent
authors.forename: D R
authors.initials: DR
authors.lastname: Grant
mesh_terms: D000328:Adult; D002648:Child; D005260:Female; D006085:Graft Survival; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology / Q000637:transplantation*; D016031:Liver Transplantation; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging; D011859:Radiography