title: Small bowel transplantation.
abstract: BACKGROUND
  Small bowel transplantation evolution, because of its complexity, was slower than other solid organs. Several advances have enabled its clinical application.
  
  
  OBJECTIVE
  To review intestinal transplantation evolution and its current status.
  
  
  METHODS
  Search in MEDLINE and ScIELO literature. The terms used as descriptors were: intestinal failure, intestinal transplantation, small bowel transplantation, multivisceral transplantation. Were analyzed data on historical evolution, centers experience, indications, types of grafts, selection and organ procurement, postoperative management, complications and results.
  
  
  CONCLUSIONS
  Despite a slower evolution, intestinal transplantation is currently the standard therapy for patients with intestinal failure and life-threatening parenteral nutrition complications. It involves some modalities: small bowel transplantation, liver-intestinal transplantation, multivisceral transplantation and modified multivisceral transplantation. Currently, survival rate is similar to other solid organs. Most of the patients become free of parenteral nutrition.
authors.forename: Rafael Antonio Arruda
authors.initials: RA
authors.lastname: Pécora
authors.forename: André Ibrahim
authors.initials: AI
authors.lastname: David
authors.forename: André Dong
authors.initials: AD
authors.lastname: Lee
authors.forename: Flávio Henrique
authors.initials: FH
authors.lastname: Galvão
authors.forename: Ruy Jorge
authors.initials: RJ
authors.lastname: Cruz-Junior
authors.forename: Luiz Augusto Carneiro
authors.initials: LA
authors.lastname: D'Albuquerque
mesh_terms: D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D007421:Intestine, Small / Q000637:transplantation*; D016377:Organ Transplantation / Q000379:methods