1.
Accelerated Colorectal Polyposis in an Immunosuppressed Patient With a Small Bowel Transplant Treated With Teduglutide: Case Report and Review of Literature.
George, AT, Leong, M, Shokouh-Amiri, M, Benedetti, E, Carroll, RE
Clinical colorectal cancer. 2019;(3):e275-e279
2.
India's first successful intestinal transplant: the road traveled and the lessons learnt.
Soin, AS, Mohanka, R, Saraf, N, Rastogi, A, Goja, S, Menon, B, Vohra, V, Saigal, S, Sud, R, Kumar, D, et al
Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology. 2014;(2):104-13
Abstract
Intestinal transplant is a therapeutic challenge not just surgically but also logistically because of the multidisciplinary expertise and resources required. A large proportion of patients who undergo massive bowel resection and develop intestinal failure have poor outcome, because of inability to sustain long-term parenteral nutrition and limited availability of intestinal and multi-visceral transplantation facilities. We report the first successful isolated intestinal transplant from India.
3.
[Small intestinal tumors as a cause of chronic iron deficiency anemia].
Terapevticheskii arkhiv. 2011;(10):11-8
Abstract
A brief update literature review on different methods of diagnosis of small intestinal tumors indicates angiography, videointestinoscopy and positron-emission tomography as most sensitive methods in diagnosis of intestinal tumors. A case of a small intestinal tumor is reported (a male of 46 years of age with chronic iron deficiency anemia) which was diagnosed with videointestinal camera and was confirmed histologically as adenocarcinoma). The patient was successfully operated and is now on chemotherapy.
4.
Effect of total enterectomy, pancreatectomy, and portal vein ligation on liver function and histology: a case report.
Vivarelli, M, Lauro, A, Cucchetti, A, D'Errico, A, Pironi, L, Pinna, AD
Transplantation proceedings. 2007;(1):300-2
Abstract
Impaired hepatic function and histology have been observed in experimental models of diversion of the portal vein blood inflow from the liver and among patients with intestinal failure. Survival after total enterectomy, pancreatectomy, and portal vein ligation, and the effect of such a condition on liver function have never been reported in humans. Herein a 32-year-old woman with familial adenomatous polyposis and multiple desmoid tumors involving the mesentery and the retroperitoneum underwent total enterectomy and pancreatectomy followed by en bloc transplantation of the stomach, small bowel, and pancreas. Due to early graft failure, the patient underwent graftectomy, ligation of the portal vein, and external drainage of the common bile duct. Liver function tests were checked daily and a liver biopsy performed 15 days after graftectomy. The patient died of a ruptured mycotic aneurysm of the abdominal aorta at 27 days after the graftectomy. Liver function tests remained normal throughout the postoperative period; liver biopsy showed normal hepatic architecture with mild portal inflammation and cholestasis and spotty necrosis. Total enterectomy with pancreatectomy and ligation of the portal vein are compatible with survival in humans (at least in the short term), allowing normal hepatic function with minimal histological alterations to the liver.
5.
Vanishing bowel: a therapeutic challenge.
Sandy, JE, Lazar, LF, Helms, RA
Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition. 2006;(4):401-7
Abstract
"Vanishing bowel" has been rarely reported in the literature. This case and discussion are intended to describe the surgical, medical, and nutrition management of this unusual congenital abnormality. Of 3 reported cases surviving vanishing bowel, one had substantial residual small bowel, another had residual small bowel and bowel-lengthening procedure, and one received an intestinal liver transplant. The patient presented in this case had residual small bowel and lengthening procedure. The patient described is well as of October 2005 (age 3.5 years), still receiving nocturnal parenteral nutrition (PN), but is eating solid foods without significant malabsorption or abdominal distention. He has experienced modest weight gain over the past 2 months.