Autologous gastrointestinal reconstructive surgery: Complement or alternative to intestinal transplantation

Fabio Fusaro, Dominique Hermans, Raymond Reding

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose of review: Autologous intestinal reconstructive surgery has evolved over the past 3 decades from rescue to main surgical procedure in the multidisciplinary approach to short bowel syndrome (SBS) patients with intestinal failure. The purpose of this review is to clarify the actual place of intestinal reconstructive surgical techniques in the management of intestinal failure related to SBS and their relationship with intestinal transplantation. Recent findings: Recent reports from centers of excellence in intestinal rehabilitation underline the efficacy and safety of autologous intestinal reconstructive surgery in patients with SBS. Outcome parameters as survival, parenteral nutrition weaning, and clinical conditions were improved in SBS patients treated by gastrointestinal reconstructive surgery. Summary: Autologous intestinal reconstructive procedures are pivotal to achieve enteral autonomy in patients with intestinal failure related to SBS. They should be considered mutually supportive and not antagonistic to intestinal transplantation.

Original languageEnglish
Pages (from-to)286-290
Number of pages5
JournalCurrent Opinion in Organ Transplantation
Volume18
Issue number3
DOIs
Publication statusPublished - Jun 2013

Keywords

  • Autologous gastrointestinal reconstruction
  • Intestinal failure
  • Intestinal rehabilitation
  • Lengthening procedures
  • Short bowel syndrome

ASJC Scopus subject areas

  • Immunology and Allergy
  • Transplantation

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