TABLE 1.
Clinical summary of the recipients
| A. | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Pt. | Age (yr) |
Sex | Cause of intestinal failure |
Remaining intestine |
TPN | Transplantation | |||
| Duration (months) |
T.bil | Liver biopsy |
Date | Graft | |||||
| 1 | 31 | M | Gun-shot wound | Tca to rectum | 6 | 1.1 | Steatosis | 5/2/90 | Small bowel |
| 17 | — | 3/16/92 | Small bowel | ||||||
| 2 | 2.5 | F | Microvillus inclusion disease | Whole intestine | 29 | 0.4 | Fibrosis | 10/31/91 | Small bowel |
| 3 | 1.3 | M | Intestinal atresia | TC to rectum | 15 | 0.4 | — | 12/25/91 | Small bowel |
| 4 | 50 | F | Crohn’s disease | Jejunum (20 cm), rectum | 120 | 1 | — | 12/28/91 | Small bowel |
| 5 | 34 | F | Desmoid tumor | Whole intestine | 1 | 1.1 | — | 2/3/92 | Small bowel |
| 6 | 38 | M | Crohn’s disease | Jejunum (10 cm), TC to rectum | 120 | 1.8 | — | 3/4/92 | Small bowel |
| 7 | 10.2 | F | Pseudo-obstruction | Jejunum (20 cm), TC to rectum | 132 | 0.6 | Fibrosis | 3/6/92 | Small bowel |
| 8 | 22 | F | Crohn’s disease | Jejunum (48 cm), no colon or rectum | 36 | 0.9 | Steatosis | 3/12/92 | Small bowel |
| 9 | 20 | F | Traffic accident | Jejunum (20 cm), DC to rectum | 24 | 1.6 | — | 6/7/92 | Small bowel |
| 10 | 37 | F | Familial polyposis | Jejunum (60 cm), rectum | 32 | 2.8 | Fibrosis | 11/27/92 | Small bowel, colon |
| 11 | 39 | M | Crohn’s disease | Jejunum (30 cm), TC to rectum | 80 | 0.7 | Fibrosis | 2/15/93 | Small bowel |
| 12 | 35 | M | Crohn’s disease | Jejunum (15 cm), no colon or rectum | 17 | 0.8 | Steatosis | 2/21/93 | Small bowel, colon |
| 13 | 58 | F | Colon cancer and multiple intestinal resections | Jejunum (50 cm), no colon or rectum | 17 | 0.7 | Fibrosis | 3/3/93 | Small bowel, colon |
| 14 | 1.7 | M | Gastroschisis | Jejunum (15 cm), TC to rectum | 20 | 0.5 | Fibrosis | 3/18/93 | Small bowel, colon |
| 15 | 9.6 | M | Volvulus | Jejunum (15 cm), TC to rectum | 115 | 0.5 | Fibrosis | 3/28/93 | Small bowel, colon |
| B. | ||||||
|---|---|---|---|---|---|---|
| Hospital stay | Survival (days)b | Current status |
Comment |
|||
| ICU (days) |
Discharge (weeks) |
Patient | Graft | TPN | Location | |
| 14 | 28 | 776 | 668 | — | — | Retransplanted at 684 days, kidney transplanted at 626 days, died of sepsis |
| 71 | ||||||
| 7 | 11 | >567 | >567 | Free | Home | Severe cholestasis for 3 months |
| 5 | 7 | >512 | >512 | Free | Home | |
| 7 | 11 | >509 | >509 | Free | Hospital | CMV enteritis |
| 5 | 15 | 440 | 239 | — | — | Demyelination of the brain, graft removed at 239 days, died of pulmonary embolism |
| 6 | 15 | 376 | 366 | — | — | CMV hepatitis and enteritis, graft removed at 366 days, died of sepsis |
| 11 | 14 | >440 | >440 | Partial | Home | Gastrojejunostomy at 335 days |
| 4 | 8 | >434 | >434 | Free | Home | |
| 5 | 5 | >347 | >347 | Free | Hospital | CMV enteritis and retinitis |
| 7 | 7 | >174 | >174 | Free | Hospital | Fungal sinusitis, CMV enteritis |
| 9 | 9 | >94 | >94 | Free | Home | SMA reposition at 17 days |
| 72 | — | >88 | >88 | Partial | Hospital | CMV enteritis, pneumonitis |
| 6 | 6 | >78 | >78 | Free | Home | |
| 2 | 6 | >63 | 27 | — | Home | Respiratory syncitial virus, graft removed at 27 days |
| 6 | 4 | >53 | >53 | Free | Home | |
a
TC: transverse colon; DC: descending colon.
b
As of 5/20/93.