title: Multivisceral transplantation: where do we stand?
abstract: Intestinal transplantation is the definitive therapy for patients with irreversible intestinal failure and can be combined with transplantation of other abdominal organs, such as stomach, spleen, and pancreas with or without liver. There is an increasing trend in the volume of intestinal and multivisceral transplantation in the past few decades and there is also increasing trend in patient and graft survival primarily due to improved patient selection, advances in immunosuppression, and improved perioperative management. This review summarizes the various key elements in patient selection, types of grafts, and updates in the perioperative management involved in multivisceral transplantation.
authors.affiliation: Miami Transplant Institute, University of Miami, 1500 Northwest 12th Avenue, Suite 1101, Miami, FL 33136, USA.
authors.forename: Kalyan Ram
authors.initials: KR
authors.lastname: Bhamidimarri
authors.affiliation: Miami Transplant Institute, University of Miami, Highland Professional Building, 1801 Northwest 9th Avenue, Suite 310, Miami, FL 33136, USA.
authors.forename: Thiago
authors.initials: T
authors.lastname: Beduschi
authors.affiliation: Miami Transplant Institute, University of Miami, Highland Professional Building, 1801 Northwest 9th Avenue, Suite 310, Miami, FL 33136, USA. Electronic address: rvianna@med.miami.edu.
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Vianna
mesh_terms: D000075202:Contraindications; D003586:Cytomegalovirus Infections / Q000209:etiology; D006084:Graft Rejection / Q000209:etiology; D006086:Graft vs Host Disease / Q000209:etiology; D006801:Humans; D007165:Immunosuppression Therapy; D007410:Intestinal Diseases / Q000601:surgery; D007422:Intestines / Q000637:transplantation; D016031:Liver Transplantation / Q000639:trends; D008232:Lymphoproliferative Disorders / Q000209:etiology; D016377:Organ Transplantation / Q000379:methods / Q000639:trends*; D016035:Pancreas Transplantation / Q000639:trends; D018579:Patient Selection; D013270:Stomach / Q000637:transplantation
keywords: Intestinal failure; Intestinal transplantation; Liver transplantation; Multivisceral transplantation