Present prospects and future perspectives of intestinal and multivisceral transplantation.
OBJECTIVE
This article reviews the most current indications, technical aspects and results of intestinal and multivisceral transplantation.


RESULTS
The introduction of induction therapy in the past 8 years, combined with advancements on surgical technique and clinical management, was vital for the improvement in patient and graft survival.


CONCLUSIONS
Intestinal transplantation is now a viable option for patients with intestinal failure who have failed parenteral nutrition. The improvement in the survival of intestinal and multivisceral transplant recipients has extended its use to selected patients with neoplastic disease, extensive splanchnic thrombosis and abdominal catastrophes.
Vianna
Rodrigo M
RM
Intestinal and Multivisceral Transplant Program, Clarian Transplant Institute/Indiana University, Indianapolis, Indiana 46202-5250, USA. rvianna@iupui.edu
Mangus
Richard S
RS
D006085:Graft Survival; D006801:Humans; D007165:Immunosuppression Therapy; D007410:Intestinal Diseases / Q000601:surgery*; D007421:Intestine, Small / Q000637:transplantation; D007422:Intestines / Q000637:transplantation*; D016031:Liver Transplantation; D016035:Pancreas Transplantation; D010288:Parenteral Nutrition / Q000009:adverse effects*; D014184:Transplantation, Homologous / Q000401:mortality