[Small bowel transplantation].
Early attempts of small bowel transplantation (SBTx) were unsuccessful as a result of uncontrolled rejection and infection. Introduction of tacrolimus in the early 1990s improved the outcome, but results were not satisfactory comparing those after the other organ transplants. Recently, improved long-term graft survivals were reported from several centers. According to Intestine Transplant Registry (ITR), a multivariate analysis of cases within the last 5 years revealed that transplantation of patients waiting at home, recipient age, antibody induced immune suppression, and center experience with at least 10 cases were associated with improved patients survival. One-year graft survival rate of 90% were achieved in patients who were treated with antithymocyte globulin and maintained on tacrolimus.
Suzuki
Tomomi
T
The First Department of Surgery, Hokkaido University School of Medicine.
Shimamura
Tsuyoshi
T
Taniguchi
Masahiko
M
Yamashita
Kenichiro
K
Furukawa
Hiroyuki
H
Todo
Satoru
S
D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D006084:Graft Rejection / Q000175:diagnosis; D006801:Humans; D007165:Immunosuppression Therapy / Q000379:methods; D007223:Infant; D007421:Intestine, Small / Q000637:transplantation*