Surgery · 1995
Endorectal pull-through of transplanted colon as part of intestinal transplantation.
Клинический случайСтатьяПоддержка правительства СШАПоддержка службы здравоохранения СШАНазвание и аннотация: Перевод в очереди
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Tzakis A G, Nour B, Reyes J, Abu-Elmagd K, Furukawa H, Todo S, Starzl T E
Аннотация
BACKGROUND: Two children with life-threatening disorders underwent intestinal transplantation; one multivisceral transplantation excluding the liver, and the second transplantation of the liver, small bowel, and colon.
METHODS: Involvement of the native rectum necessitated resection and replacement with the transplanted allograft. To prevent a permanent colostomy, a pull-through of the allograft colon was performed.
RESULTS: Both patients had a stormy early postoperative course, mainly because of the complexities of intestinal transplantation, but with eventual recovery, including improvement of rectal function.
CONCLUSIONS: These are the first two known cases in which a transplanted large intestine was used for a pull-through procedure.
METHODS: Involvement of the native rectum necessitated resection and replacement with the transplanted allograft. To prevent a permanent colostomy, a pull-through of the allograft colon was performed.
RESULTS: Both patients had a stormy early postoperative course, mainly because of the complexities of intestinal transplantation, but with eventual recovery, including improvement of rectal function.
CONCLUSIONS: These are the first two known cases in which a transplanted large intestine was used for a pull-through procedure.