title: Non-anatomical intestinal transplantation.
abstract: BACKGROUND
  Intestinal transplantation is the only long-range treatment option for patients with intestinal failure. We report an exceptional case of isolated intestinal transplantation with the implant in a non-anatomical position.
  
  
  METHODS
  The patient was a thirty-eight-year-old man (60 kg weight, 180 cm height, 18.3 body mass index) with intestinal failure and home parenteral nutrition due to a short-bowel syndrome for which intestinal transplantation was indicated. The patient had a vascular malformation with the cava vein located left to the aorta, and the intestine was implanted with a 180 masculine rotation around the mesenteric axis, so that the implant s superior mesenteric artery and vein matched the recipient s cava and aorta. Postoperative follow-up was excellent and the patient was discharged after six weeks with a 10-kg gain in body weight.
  
  
  CONCLUSIONS
  This non-anatomical intestinal implantation of the small bowel, previously unreported, offers technical advantages over other options. Adequate intestinal function represents a unique model to prove the viability of intestinal implants in a non-anatomical position.
authors.affiliation: Service of Hepatobiliopancreatic and Transplantation Surgery, Unit of Nutritional Support, University Hospital Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain. rcharco@vhebron.net
authors.forename: R
authors.initials: R
authors.lastname: Charco
authors.forename: C
authors.initials: C
authors.lastname: Malagelada
authors.forename: L
authors.initials: L
authors.lastname: Llopart
authors.forename: J
authors.initials: J
authors.lastname: Bueno
authors.forename: I
authors.initials: I
authors.lastname: Bilbao
authors.forename: M
authors.initials: M
authors.lastname: Caralt
authors.forename: R
authors.initials: R
authors.lastname: Vilallonga
authors.forename: J
authors.initials: J
authors.lastname: Gavaldá
authors.forename: J
authors.initials: J
authors.lastname: Dot
authors.forename: M
authors.initials: M
authors.lastname: Abu-Suboh
authors.forename: M
authors.initials: M
authors.lastname: Planas
authors.forename: A
authors.initials: A
authors.lastname: Accarino
authors.forename: J R
authors.initials: JR
authors.lastname: Armengol-Miró
authors.forename: F
authors.initials: F
authors.lastname: Azpiroz