Open AccessCadaveric small bowel/split liver transplantation in a child
Author(s) -
Xenos E. S.,
Khan F.,
Nery J.,
Romero R.,
Mocros J.,
Tzakis A.
Publication year - 1999
Publication title -
transplant international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.998
H-Index - 82
eISSN - 1432-2277
pISSN - 0934-0874
DOI - 10.1111/j.1432-2277.1999.tb00577.x
Subject(s) - medicine , cadaveric spasm , liver transplantation , perforation , transplantation , surgery , bowel perforation , population , gastroenterology , complication , punching , materials science , environmental health , metallurgy
Scarcity of size‐matched grafts continues to be a major limiting factor for liver and combined liver/intestinal transplants in the pediatric population. It is reported that 29 % of pediatric patients listed for hepatic transplantation die while waiting for a donor. The reported mortality of pediatric patients awaiting intestinal transplantation is about 40 %. We report on a technique of segmental liver and intestinal transplantation in a child. To our knowledge, this is the first report of a combined split liver‐intestinal transplantation. We used a cadaveric donor, but the technique can also be performed with a live donor. The adult recipient of one segment of the liver was discharged home without complications. The child who received the combined liver intestinal graft developed intestinal perforation and severe rejection and died. If this technique is applied successfully, the adverse effects and mortality of a long pretransplant waiting period in pediatric patients may be avoided.