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《JOURNAL OF THE FOURTH MILITARY MEDICAL UNIVERSITY》 2000-06
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Management of intestinal graft in living-related small bowel transplantation

WANG Wei Zhong, LING Rui, SONG Wei Liang, ZHANG Shao Hua, CHEN Dong Li, LI Mengbin, JI Gang Department of Gastrointestinal Surgery, Fourth Military Medical University, Xi'an 710033,China  
AIM To report the experience in management of the first case of living related small bowel transplantation in China. METHODS An 18 year old boy with short gut syndrome underwent the living related small bowel transplantation, and the donor was his father. A segment of 150cm distal small bowel was resected from the donor and the graft's vasculature was infused with UW solution. The donor's ilecolic artery and vein were anastomosed to the recipient's infrarenalaorta and cava. The intestinal continuity was restored with an end to end anastomosis between the recipient's jejunum and the donor's ileum, and the distal end was as the fistulization. Treatment of immunosuppression, antibiotics, antithrombosis and nutrition support was given after transplantation. RESULTS After operation, the recipient had such complications as herpes simplex virus infection, as stinal hemorrhage and acute rejection, which were all cured with treatment. Now, he is in good health and it is already 8 months since the transplantation. CONCLUSION The selection, resection, vascular infusion and digestive duct reconstruction of the intestinal graft is important to its function restoration.
【CateGory Index】: R656.7
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