Show Summary Details
Page of

Anaesthetic management of adult intestinal and multivisceral transplantation 

Anaesthetic management of adult intestinal and multivisceral transplantation
Chapter:
Anaesthetic management of adult intestinal and multivisceral transplantation
Author(s):

Kyota Fukazawa

, Ernesto A. Pretto

, and Seigo Nishida

DOI:
10.1093/med/9780199651429.003.0027
Page of

PRINTED FROM OXFORD MEDICINE ONLINE (www.oxfordmedicine.com). © Oxford University Press, 2016. All Rights Reserved. Under the terms of the licence agreement, an individual user may print out a PDF of a single chapter of a title in Oxford Medicine Online for personal use (for details see Privacy Policy and Legal Notice).

date: 22 October 2019

Outcome following intestinal and multivisceral transplantation has improved significantly since 1995. Multivisceral transplantation is now considered a therapeutic option in the treatment of patients with complications resulting from short bowel syndrome (SBS). During this time the increased numbers of cases has resulted in major refinements of surgical technique and perioperative management, with a better understanding of gut immunology leading to the development of new immunosuppression protocols. These advances have contributed to marked improvements in graft and patient survival. However, the perioperative management of recipients of intestinal and multivisceral transplants remains challenging. This is due primarily to problems associated with vascular access and hypercoagulability, complex surgical procedures, and high rates of postoperative comorbidities. This chapter reviews the current status of intestinal and multivisceral transplantation, including major historical developments, surgical techniques, immunosuppression protocols, and intraoperative and postoperative management.

Access to the complete content on Oxford Medicine Online requires a subscription or purchase. Public users are able to search the site and view the abstracts for each book and chapter without a subscription.

Please subscribe or login to access full text content.

If you have purchased a print title that contains an access token, please see the token for information about how to register your code.

For questions on access or troubleshooting, please check our FAQs, and if you can't find the answer there, please contact us.