title: The use of oral tacrolimus in a case of short bowel syndrome.
abstract: Achieving adequate oral immunosuppression in a renal transplant patient who develops short bowel syndrome provides a significant challenge. We report a case where oral tacrolimus has been used to provide immunosuppression in an established renal transplant patient who developed short bowel syndrome secondary to mesenteric infarction. After reviewing the literature, we conclude that tacrolimus can be used as first-line immunosuppression in patients with short bowel syndrome.
authors.affiliation: Oxford Transplant Centre, Churchill Hospital, Oxford, OX3 7LJ, UK.
authors.forename: Nilay
authors.initials: N
authors.lastname: Patel
authors.forename: Stuart
authors.initials: S
authors.lastname: Smith
authors.forename: Ashok
authors.initials: A
authors.lastname: Handa
authors.forename: Chris
authors.initials: C
authors.lastname: Darby
mesh_terms: D000284:Administration, Oral; D000328:Adult; D005260:Female; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage*; D007238:Infarction / Q000150:complications; D016030:Kidney Transplantation; D012778:Short Bowel Syndrome / Q000188:drug therapy* / Q000209:etiology; D013152:Splanchnic Circulation; D016559:Tacrolimus / Q000008:administration & dosage*
chemical_list: D007166:Immunosuppressive Agents; D016559:Tacrolimus