title: [Combined transplantation of liver and small intestine in an adult. First case in France. Surgical aspects].
abstract: BACKGROUND
  We report hare the first adult case of combined liver-small bowel transplantation performed in France.
  
  
  METHODS
  A double liver + small bowel graft was transplanted in a 21-year-old patient hospitalized for 4 years for a short bowel syndrome requiring total parenteral nutrition. The patient also had severe hepatic fibrosis. The immediate post-operative period was uneventful. Two and one-half years after the double graft, the patient is on strictly oral nutrition, no longer has a stomy and lives a normal life in his home.
  
  
  CONCLUSIONS
  The advent of tacrolimus has led to long-term success of bowel grafts, developed earlier in children and now possible in adults. Combined liver-small bowel transplantation is formally indicated in patients with cirrhogenic liver disease associated with ineversible small bowel failure.
authors.affiliation: Centre Hépato-Biliaire, Hôpital Paul Brousse, Villejuif, Université Paris-Sud. daniel.azoulay@pbr.ap-hop-paris.fr
authors.forename: D
authors.initials: D
authors.lastname: Azoulay
authors.forename: E
authors.initials: E
authors.lastname: Savier
authors.forename: D
authors.initials: D
authors.lastname: Castaing
authors.forename: F
authors.initials: F
authors.lastname: Saliba
authors.forename: B
authors.initials: B
authors.lastname: Vasseur
authors.forename: J F
authors.initials: JF
authors.lastname: Emile
authors.forename: K
authors.initials: K
authors.lastname: Vahédi
authors.forename: D
authors.initials: D
authors.lastname: Samuel
authors.forename: C
authors.initials: C
authors.lastname: Matuchansky
authors.forename: B
authors.initials: B
authors.lastname: Messing
authors.forename: H
authors.initials: H
authors.lastname: Bismuth
mesh_terms: D000328:Adult; D000367:Age Factors; D005500:Follow-Up Studies; D005602:France; D006801:Humans; D007421:Intestine, Small / Q000637:transplantation*; D008103:Liver Cirrhosis / Q000601:surgery*; D016031:Liver Transplantation; D008297:Male; D010288:Parenteral Nutrition; D012778:Short Bowel Syndrome / Q000601:surgery*; D016896:Treatment Outcome