Decision making in intestinal transplantation.
Intestinal transplantation is an accepted lifesaving option to treat appropriately selected patients with end-stage failure of the gastrointestinal tract. The evaluation of each candidate involves complex judgments. When to perform an isolated intestinal transplantation versus a combined transplantation with the liver and/or other organs often requires thoughtful considerations and an individualized approach. In addition, performing venous drainage of the isolated graft is potentially complex. We discuss the significant advances in surgical and medical decision making in the evaluation and management of patients with intestinal failure.
Florman
Sander
S
Tulane Center for Abdominal Transplantation, New Orleans, LA, USA.
Kaufman
Stuart S
SS
Fishbein
Thomas
T
D003657:Decision Making; D006801:Humans; D007422:Intestines / Q000637:transplantation*; D016031:Liver Transplantation; D020380:Needs Assessment; D018579:Patient Selection