Detection of Postoperative Intestinal Ischemia in Small Bowel Transplants

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Detection of Postoperative Intestinal Ischemia in Small Bowel Transplants

Small bowel transplantation is acknowledged as auto- and allotransplantation. In both instances, there is up to a 4%-10% risk of postoperative ischemia, and as the small bowel is extremely susceptible to ischemia, the timely diagnosis of ischemia is important. The location of the transplant, whether it is buried in the abdominal cavity or in the neck region, increases the challenge, as monitori...

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The electrical control activity (ECA) of the bowel is the omnipresent slow electrical wave of the intestinal tract. Characterization of small bowel electrical activity during ischemia may be used as a measure of intestinal viability. With the use of an animal model of mesenteric ischemia, serosal electrodes and a digital recording apparatus utilizing autoregressive spectral analysis were used t...

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OPIOIDS are known to reduce the motility of both the colon and the small intestine. However, some investigators have reported, both in animal models and in humans, that morphine increases duodenal motility. In vivo studies of the effect of morphine on small bowel motility are complicated because most have been performed in the postoperative period, where the additional trauma of laparotomy and ...

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Laparoscopic management of small bowel obstruction with associated intestinal ischemia

Obstruction is the most common surgical disorder of the small bowel. Complete small bowel obstruction (SBO) is usually treated surgically because bowel strangulation cannot be excluded with certainty. Acute SBO has been previously considered a relative contraindication for laparoscopic management especially due to the laparotomy conversion rate. We present a case of SBO for which laparoscopic m...

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Replacement of donor lymphoid tissue in small-bowel transplants.

The presence of recipient lymphocytes in grafts is thought to equate with rejection. Thus, we wished to follow the fate of lymphocytes after transplant of the small bowel. Three complete small-bowel transplants, two with the liver from the same donor also transplanted, were done successfully. Patients were immunosuppressed with FK 506. 5 to 11% of lymphocytes in the recipients' peripheral blood...

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ژورنال

عنوان ژورنال: Journal of Transplantation

سال: 2012

ISSN: 2090-0007,2090-0015

DOI: 10.1155/2012/970630