Protein-losing enteropathy after Fontan surgery

Resolution after cardiac transplantation

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Protein-losing enteropathy (PLE), defined as severe loss of serum protein into the intestine, occurs in 4% to 13% of patients after the Fontan procedure. We report a case of PLE reversal after heart transplantation in a 14-year-old boy with Fontan circulation who previously was treated unsuccessfully with medical therapy. The protein loss continued after heart transplantation. We administered total parenteral nutrition to rest the bowel. After 16 months, we observed a gradual decrease in protein loss. The patient is doing well 5 years after heart transplantation and had has a normal serum albumin level.

Original languageEnglish
Pages (from-to)484-486
Number of pages3
JournalJournal of Heart and Lung Transplantation
Volume22
Issue number4
DOIs
Publication statusPublished - Apr 1 2003

Fingerprint

Protein-Losing Enteropathies
Heart Transplantation
Fontan Procedure
Total Parenteral Nutrition
Serum Albumin
Intestines
Blood Proteins
Proteins
Therapeutics

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Transplantation

Cite this

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abstract = "Protein-losing enteropathy (PLE), defined as severe loss of serum protein into the intestine, occurs in 4{\%} to 13{\%} of patients after the Fontan procedure. We report a case of PLE reversal after heart transplantation in a 14-year-old boy with Fontan circulation who previously was treated unsuccessfully with medical therapy. The protein loss continued after heart transplantation. We administered total parenteral nutrition to rest the bowel. After 16 months, we observed a gradual decrease in protein loss. The patient is doing well 5 years after heart transplantation and had has a normal serum albumin level.",
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T1 - Protein-losing enteropathy after Fontan surgery

T2 - Resolution after cardiac transplantation

AU - Brancaccio, Gianluca

AU - Carotti, Adriano

AU - D'Argenio, Patrizia

AU - Michielon, Guido

AU - Parisi, Francesco

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AB - Protein-losing enteropathy (PLE), defined as severe loss of serum protein into the intestine, occurs in 4% to 13% of patients after the Fontan procedure. We report a case of PLE reversal after heart transplantation in a 14-year-old boy with Fontan circulation who previously was treated unsuccessfully with medical therapy. The protein loss continued after heart transplantation. We administered total parenteral nutrition to rest the bowel. After 16 months, we observed a gradual decrease in protein loss. The patient is doing well 5 years after heart transplantation and had has a normal serum albumin level.

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