karmiony pozajelitowo Przeme z dzisiejszej 'Uwagi' na tvn-ie

[naomi]

Właśnie obejrzałam program pt. 'Uwaga' na TVNie. Był o małym Przemku który jest karmiony pozajelitowo od samego urodzenia. Jego jelita nie mają odpowiedniego unerwienia i pokarm który znajdzie się w jelicie nie jest przesuwany w stronę wyjścia. Jedyny ratunek dla niego to przeszczep jelita. Nie było mowy o które jelito chodzi, a moje pytanie jest takie: ktoś już na forum pisał że nie przeszczepia się jelit(a) (?). Czy jednak u małych dzieci taki zabieg jest możliwy?

[Mamcia]

Chodzi o cienkie, bo grube nie jest konieczne do życia. jest to trudny przeszczep.

[naomi]

aha, to już rozumiem:) dzięki za odpowiedź( :

[Natalka]

znalazłam jeszcze jeden temat o przeszczepie jelita, nie ma tam wiele informacji
viewtopic.php?t=1209&highlight=przeszczep

[Mamcia]

1: Curr Opin Organ Transplant. 2009 Apr 15. [Epub ahead of print] Links
Intestinal transplantation: evolution in immunosuppression protocols.Pirenne J.
Abdominal Transplant Surgery, University Hospitals Leuven, Leuven, Belgium.

PURPOSE OF REVIEW: Intestinal transplantation is a treatment for patients with short bowel syndrome and associated severe complications. The intestine has long been seen as a 'forbidden' organ to transplant. This fact is because the first attempts at intestinal transplantation were rapidly defeated by rejection and sepsis. RECENT FINDINGS: Several factors have contributed to improve the results: tacrolimus-based immunosuppression, induction therapy (independent of the type), introduction of ganciclovir and rituximab and subsequent better control of cytomegalovirus and posttransplant lymphoma, better differential diagnosis between rejection versus infection and ischemia (avoiding unnecessary overimmunosuppression), better patient follow-up. Center experience is more important than a particular immunosuppressive protocol. M-TOR inhibitors, infliximab have been used. Mycophenolate mofetil is less frequently used because of its potential gastrointestinal toxicity. Of note, no significant improvement in short-term and long-term (>1 year) survival was observed since 2000 and 1985, respectively. SUMMARY: Intestinal transplantation remains a formidable clinical/immunological challenge. With newer immunosuppression and accumulated experience, intestinal transplantation results have improved and the procedure represents a life-saving option in patients with short bowel syndrome-related complications. Before intestinal transplantation becomes a 'quality of life-improving' procedure (offered to patients who are free of short bowel syndrome-related complications), new strategies focusing on facilitating graft acceptance and reducing the need for immunosuppression will have to be developed.

PMID: 19373085 [PubMed - as supplied by publisher]

: Curr Opin Organ Transplant. 2009 Apr 3. [Epub ahead of print] Links
Small bowel transplantation: technical advances/updates.Selvaggi G, Tzakis AG.
University of Miami Miller School of Medicine, Miami Transplant Institute, Miami, Florida, USA.

PURPOSE OF REVIEW: The field of intestinal transplantation continues to grow, both in terms of overall transplants performed each year and number of centers adopting this procedure. Numerous advances in technical and management procedures have resulted in improvements of patient and graft survival. This review focuses on the technical advances that have emerged over the last year. RECENT FINDINGS: Multiple variations of the original technique of intestinal transplantation are now utilized according to the patients' original diagnoses and/or degree of liver dysfunction. Multivisceral grafts can include both donor spleen and large intestine; preservation of the native spleen and pancreas is possible in some cases. Living donor intestinal transplantation is being described as alternative technique to minimize death on the waitlist. SUMMARY: Constant evolution in the surgical aspects of intestinal transplantation parallels the improvements that have taken place in the medical management and immunosuppression. The transplant surgeon with full knowledge of all variations of intestinal transplant techniques will be able to tailor the type of surgery to each individual patient.

PMID: 19349867 [PubMed - as supplied by publisher]

[Linda123]

Pytałam się ostatnio lekarza u którego sie lecze o przeszczep. Powiedział, że CD jest chorobą autoagresywną a nie jelit i jest duże prawdopodobieństwo, że sie odnowi w przeszczepionym jelicie.