title: Plasma exchange in small intestinal transplantation between ABO-incompatible individuals: A case report.
abstract: The aim of this study was to investigate the application of plasma exchange in small intestinal transplantation between ABO blood type-incompatible patients. A small intestinal transplantation case between ABO-incompatible individuals is hereby presented and analyzed. The main treatment included plasma exchange, splenectomy and immunosuppression. The patient undergoing small intestinal transplantation exhibited stable vital signs. A mild acute rejection reaction developed ~2 weeks after the surgery, which the patient successfully overcame. The subsequent colonoscopy and pathological examination revealed no signs of acute rejection. In conclusion, plasma exchange in combination with anti-immune rejection therapy proved to be an effective scheme for the management of small intestinal transplantation between ABO-incompatible patients.
authors.affiliation: Department of Blood Transfusion, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, P.R. China.
authors.forename: Qiuhui
authors.initials: Q
authors.lastname: Zhang
authors.affiliation: Department of Blood Transfusion, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, P.R. China.
authors.forename: Xingbin
authors.initials: X
authors.lastname: Hu
authors.affiliation: Department of Blood Transfusion, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, P.R. China.
authors.forename: Aijun
authors.initials: A
authors.lastname: Xia
authors.affiliation: Department of Blood Transfusion, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, P.R. China.
authors.forename: Jing
authors.initials: J
authors.lastname: Yi
authors.affiliation: Department of Blood Transfusion, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, P.R. China.
authors.forename: Qunxing
authors.initials: Q
authors.lastname: An
authors.affiliation: Department of Blood Transfusion, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, P.R. China.
authors.forename: Xianqing
authors.initials: X
authors.lastname: Zhang
keywords: ABO-incompatible; desensitization; intestinal transplantation; plasma exchange