There were 27 adults ranging in age from 19 to 58 years, and 32 children ranging in age from six months to 16 years. Some pediatric recipients who had never been exposed to an oral diet tended to resist oral feedings post-transplant. A. Isolated intestinal transplant. B. Combined liver and intestinal transplant. C. Multivisceral transplant.
Clamps indicate the route used for endoscopic observation and endoscope-guided biopsies.
Intestinal allograft function can be adequately assessed using D-xylose absorption and fecal fat excretion. In patients receiving tacrolimus for immunosuppression, it is common to see reduced absorption of the drug if moderate to severe graft rejection occurs. Satisfactory absorption has been confirmed using these parameters in the first postoperative month. Monitoring of the intestinal graft involves clinical examination of the abdomen and stoma, analysis of stomal output, and endoscopic evaluation. The postoperative course of intestinal recipients is stormy, with numerous complications and frequent readmissions.