Modified "Liver-Sparing" Multivisceral Transplant with Preserved Native Spleen, Pancreas, and Duodenum: Technique and Long-Term Outcome

Journal of Gastrointestinal Surgery

Volumn 14, Issue 11, 2010, Pages 1709-1721

  Cruz Jr , Ruy J ^a   Costa, Guilherme ^a   Bond, Geoffrey ^a   Soltys, Kyle ^a   Stein, William C ^a   Wu, Guosheng ^a   Martin, Lillian ^a   Koritsky, Darlene ^a   McMichael, John ^a   Sindhi, Rakesh ^a   Mazariegos, George ^a   Abu Elmagd, Kareem M ^a  

^a UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

Author keywords

Duodenopancreatectomy; Gardner's syndrome; GVHD; Modified multivisceral transplantation; Pseudo obstruction; PTLD; Splenic preservation technique

Indexed keywords

ADOLESCENT; ADULT; AGED; ALLOTRANSPLANTATION; ARTICLE; CHILD; DUODENUM; FEMALE; GRAFT REJECTION; GRAFT VERSUS HOST REACTION; HUMAN; INFANT; INTESTINE; LYMPHOPROLIFERATIVE DISEASE; MALE; METHODOLOGY; MIDDLE AGED; MORTALITY; PANCREAS TRANSPLANTATION; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; PRESCHOOL CHILD; STOMACH; SURVIVAL RATE; TRANSPLANTATION; VISCERA;

ADOLESCENT; ADULT; AGED; CHILD; CHILD, PRESCHOOL; DUODENUM; FEMALE; GRAFT REJECTION; GRAFT VS HOST DISEASE; HUMANS; INFANT; INTESTINES; LYMPHOPROLIFERATIVE DISORDERS; MALE; MIDDLE AGED; PANCREAS TRANSPLANTATION; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; STOMACH; SURVIVAL RATE; TISSUE AND ORGAN HARVESTING; TRANSPLANTATION, HOMOLOGOUS; VISCERA; YOUNG ADULT;

EID: 77958489848     PISSN: 1091255X     EISSN: None     Source Type: Journal    
DOI: 10.1007/s11605-010-1317-5     Document Type: Article

References (22)

1. Starzl TE, Kaupp HA, Brock DR, et al. Mass homotransplantation of abdominal organs in dogs. Surg Forum 1960; 11: 28-30.
2. Starzl TE, Rowe MI, Todo S, et al. Transplantation of multiple abdominal viscera. JAMA 1989; 261(10): 1449-1457.
3. Abu-Elmagd K. The history of intestinal transplantation. In: Nakim NS, Papalois VE, eds. The History of Organ and Cell Transplantation. London: Imperial College Press; 2003: 171-193.
4. Starzl TE, Todo S, Fung J, et al. FK 506 for human liver, kidney and pancreas transplantation. Lancet 1989; 2: 1000-1004.
5. Grant D, Wall, W, Mimeault R, et al. Successful small-bowel/liver transplantation. Lancet 1990; 335: 181-184.
6. Starzl TE, Todo S, Tzakis A, et al. The many faces of multivisceral transplantation. Surg Gynecol Obstet 1991; 172: 335-344.
7. Todo S, Tzakis A, Abu-Elmagd K, et al. Abdominal multivisceral transplantation. Transplantation 1995; 59: 234-240.
8. Abu-Elmagd K, Reyes J, Todo S, et al. Clinical intestinal transplantation: new perspectives and immunologic considerations. J Am Coll Surg 1998; 186: 512-527.
9. Abu-Elmagd K, Reyes J, Bond G, et al. Clinical intestinal transplantation: A decade of a single center experience. Ann of Surg 2001; 234(3): 404-417.
10. Abu-Elmagd KM. Preservation of the native spleen, duodenum, and pancreas in patients with multivisceral transplantation: Nomenclature, dispute of origin, and proof of premise. Transplantation 2007; 84(9): 1208-1209.
11. Casavilla A, Selby R, Abu-Elmagd K, et al. Logistics and technique for combined hepatic-intestinal retrieval. Arch Surg 1992; 216 (5): 605-609.
12. Abu-Elmagd KM, Bond G, Reyes J, et al. Intestinal transplantation: A coming of age. Advances in Surgery 2002; 36: 65-101.
13. Abu-Elmagd KM, Costa G, Bond GJ, et al. Evolution of the immunosuppressive strategies for the intestinal and multivisceral recipients with special reference to allograft immunity and achievement of partial tolerance. Transplant International 2009; 22(1): 96-109.
14. Abu-Elmagd KM, Costa G, Bond GJ, et al. Five hundred intestinal and multivisceral transplantations at a single center: Major advances with new challenges. Ann of Surg 2009; 250(4): 567-581.
15. Lee RG, Nakamura K, Tsamandas AC, Abu-Elmagd K, Furukawa H, Hutson W, Reyes J, Tabasco-Minguillan JS, Todo S, Demetris AJ. Pathology of human intestinal transplantation. Gastroenterology 1996; 110: 1820-1834.
16. Parizhskaya M, Redondo C, Demetris A, Jaffe R, Reyes J, Ruppert K, Martin L, Abu-Elmagd K. Chronic rejection of small bowel grafts: A pediatric and adult study of risk factors and morphologic progression. Ped & Dev Path 2003; 6(3): 240-250.
17. Abu-Elmagd KM, Mazariegos G, Costa G., et al. Lymphoproliferative disorders and de novo malignancies in intestinal and multivisceral recipients: Improved outcomes with new outlooks. Transplantation 2009; 88(7): 926-934.
18. Bueno J, Abu-Elmagd K, Mazariegos G, et al. Composite liver-small bowel allografts with preservation of donor duodenum and hepatic biliary system in children. J Ped Surg 2000; 35(2): 291-296.
19. Matsumoto CS, Fishbein TM. Modified multivisceral transplantation with splenopancreatic preservation. Transplantation 2007: 83: 234.
20. Mazariegos GV, Steffick DE, Horslen S, et al. Intestine Transplantation in the United States, 1999-2008. Transplantation 2010; 10(4): 1020-1034.
21. Tzakis AG, Kato T, Levi, et al. 100 Multivisceral transplants at a single center. Ann of Surg 2005; 242(2): 480-493.
22. Kato T, Tzakis AG, Selvaggi G, et al. Transplantation of the spleen: Effect of splenic allograft in human multivisceral transplantation. Ann Surg 2007; 246(3): 436-446.