Present prospects and future perspectives of intestinal and multivisceral transplantation.

摘要

PURPOSE OF REVIEW: This article reviews the most current indications, technical aspects and results of intestinal and multivisceral transplantation. RECENT FINDINGS: 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. SUMMARY: 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.