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. 1992 Nov;216(5):605–609. doi: 10.1097/00000658-199211000-00014

Logistics and technique for combined hepatic-intestinal retrieval.

A Casavilla 1, R Selby 1, K Abu-Elmagd 1, A Tzakis 1, S Todo 1, J Reyes 1, J Fung 1, T E Starzl 1
PMCID: PMC1242681  PMID: 1444653

Abstract

During a 13-month period, en bloc liver-small bowel cadaveric grafts were procured for seven children and one adult. All liver grafts functioned immediately, and all but one of the recipient patients recovered. Return of absorptive small bowel function was slow, but the integrity of the bacterial intestinal barrier was not disrupted. The described technique allows the procurement of other abdominothoracic organs, with the exception of the whole pancreas.

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Selected References

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  1. Grant D., Wall W., Mimeault R., Zhong R., Ghent C., Garcia B., Stiller C., Duff J. Successful small-bowel/liver transplantation. Lancet. 1990 Jan 27;335(8683):181–184. doi: 10.1016/0140-6736(90)90275-a. [DOI] [PubMed] [Google Scholar]
  2. McAlister V., Wall W., Ghent C., Zhong R., Duff J., Grant D. Successful small intestine transplantation. Transplant Proc. 1992 Jun;24(3):1236–1237. [PubMed] [Google Scholar]
  3. STARZL T. E., KAUPP H. A., Jr, BROCK D. R., BUTZ G. W., Jr, LINMAN J. W. Homotransplantation of multiple visceral organs. Am J Surg. 1962 Feb;103:219–229. doi: 10.1016/0002-9610(62)90491-9. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Stanko R. T., Nathan G., Mendelow H., Adibi S. A. Development of hepatic cholestasis and fibrosis in patients with massive loss of intestine supported by prolonged parenteral nutrition. Gastroenterology. 1987 Jan;92(1):197–202. doi: 10.1016/0016-5085(87)90859-6. [DOI] [PubMed] [Google Scholar]
  5. Starzl T. E., Hakala T. R., Shaw B. W., Jr, Hardesty R. L., Rosenthal T. J., Griffith B. P., Iwatsuki S., Bahnson H. T. A flexible procedure for multiple cadaveric organ procurement. Surg Gynecol Obstet. 1984 Mar;158(3):223–230. [PMC free article] [PubMed] [Google Scholar]
  6. Starzl T. E., Miller C., Broznick B., Makowka L. An improved technique for multiple organ harvesting. Surg Gynecol Obstet. 1987 Oct;165(4):343–348. [PMC free article] [PubMed] [Google Scholar]
  7. Starzl T. E., Rowe M. I., Todo S., Jaffe R., Tzakis A., Hoffman A. L., Esquivel C., Porter K. A., Venkataramanan R., Makowka L. Transplantation of multiple abdominal viscera. JAMA. 1989 Mar 10;261(10):1449–1457. [PMC free article] [PubMed] [Google Scholar]
  8. Starzl T. E., Todo S., Tzakis A., Alessiani M., Casavilla A., Abu-Elmagd K., Fung J. J. The many faces of multivisceral transplantation. Surg Gynecol Obstet. 1991 May;172(5):335–344. [PMC free article] [PubMed] [Google Scholar]
  9. Todo S., Tzakis A. G., Abu-Elmagd K., Reyes J., Fung J. J., Casavilla A., Nakamura K., Yagihashi A., Jain A., Murase N. Cadaveric small bowel and small bowel-liver transplantation in humans. Transplantation. 1992 Feb;53(2):369–376. doi: 10.1097/00007890-199202010-00020. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Todo S., Tzakis A. G., Abu-Elmagd K., Reyes J., Nakamura K., Casavilla A., Selby R., Nour B. M., Wright H., Fung J. J. Intestinal transplantation in composite visceral grafts or alone. Ann Surg. 1992 Sep;216(3):223–234. doi: 10.1097/00000658-199209000-00002. [DOI] [PMC free article] [PubMed] [Google Scholar]

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