Endorectal pull-through of transplanted colon as part of intestinal transplantation

Andreas G. Tzakis, Bakr Nour, Jorge Reyes, Kareem Abu-Elmagd, Hiroyuki Furukawa, Satoru Todo, Thomas E. Starzl

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Abstract

Background. Two children with life-threatening disorders underwent intestinal transplantation; one multivisceral transplantation excluding the liver, and the second transplantation of the liver, small bowel, and colon. Methods. Involvement of the native rectum necessitated resection and replacement with the transplanted allograft. To prevent a permanent colostomy, a pull-through of the allograft colon was performed. Results. Both patients had a stormy early postoperative course, mainly because of the complexities of intestinal transplantation, but with eventual recovery, including improvement of rectal function. Conclusions. These are the first two known cases in which a transplanted large intestine was used for a pull-through procedure.

Original languageEnglish
Pages (from-to)451-453
Number of pages3
JournalSurgery
Volume117
Issue number4
DOIs
Publication statusPublished - Apr 1995

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ASJC Scopus subject areas

  • Surgery

Cite this

Tzakis, A. G., Nour, B., Reyes, J., Abu-Elmagd, K., Furukawa, H., Todo, S., & Starzl, T. E. (1995). Endorectal pull-through of transplanted colon as part of intestinal transplantation. Surgery, 117(4), 451-453. https://doi.org/10.1016/S0039-6060(05)80066-2