Nutrition management of small bowel transplant patients.
Nutrition therapy after small bowel or combined liver/small bowel transplantation is challenging. The objective is to restore enteral autonomy to a patient with a complex past surgical history and equally complex posttransplant immunosuppressive regimen in the context of a newly created surgical anatomy. Improved surgical techniques and immunosuppressive regimens have led to superior outcomes. Accompanying these advances is a range of nutrition issues that require specific management strategies. This review outlines the current clinical practice and decision making used to create individualized nutrition regimens for small bowel or combined liver/small bowel transplant recipients. Successful small bowel transplant outcomes require a coordinated effort from a transplant team to restore nutritional autonomy to transplant recipients and free them from parenteral nutrition.
Weseman
Rebecca A
RA
Intestinal Rehabilitation and Transplant Programs, 983285 Nebraska Medical Center, Omaha, NE 68198-3285, USA. Bweseman@nebraskamed.com
Gilroy
Richard
R
D003131:Combined Modality Therapy; D006801:Humans; D007421:Intestine, Small / Q000637:transplantation*; D016031:Liver Transplantation; D044623:Nutrition Therapy; D010288:Parenteral Nutrition; D018579:Patient Selection; D012778:Short Bowel Syndrome / Q000601:surgery* / Q000628:therapy*; D016896:Treatment Outcome