Intestinal and multivisceral transplantation
Autor(a) principal: | |
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Data de Publicação: | 2015 |
Outros Autores: | , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Einstein (São Paulo) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100024 |
Resumo: | Intestinal transplantation has shown exceptional growth over the past 10 years. At the end of the 1990’s, intestinal transplantation moved out of the experimental realm to become a routine practice in treating patients with severe complications related to total parenteral nutrition and intestinal failure. In the last years, several centers reported an increasing improvement in survival outcomes (about 80%), during the first 12 months after surgery, but long-term survival is still a challenge. Several advances led to clinical application of transplants. Immunosuppression involved in intestinal and multivisceral transplantation was the biggest gain for this procedure in the past decade due to tacrolimus, and new inducing drugs, mono- and polyclonal anti-lymphocyte antibodies. Despite the advancement of rigid immunosuppression protocols, rejection is still very frequent in the first 12 months, and can result in long-term graft loss. The future of intestinal transplantation and multivisceral transplantation appears promising. The major challenge is early recognition of acute rejection in order to prevent graft loss, opportunistic infections associated to complications, post-transplant lymphoproliferative disease and graft versus host disease; and consequently, improve results in the long run. |
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Intestinal and multivisceral transplantationTransplantationIntestinesmall/transplantationTransplantation chimeraTissue donorsTransplantation immunologyIntestinal transplantation has shown exceptional growth over the past 10 years. At the end of the 1990’s, intestinal transplantation moved out of the experimental realm to become a routine practice in treating patients with severe complications related to total parenteral nutrition and intestinal failure. In the last years, several centers reported an increasing improvement in survival outcomes (about 80%), during the first 12 months after surgery, but long-term survival is still a challenge. Several advances led to clinical application of transplants. Immunosuppression involved in intestinal and multivisceral transplantation was the biggest gain for this procedure in the past decade due to tacrolimus, and new inducing drugs, mono- and polyclonal anti-lymphocyte antibodies. Despite the advancement of rigid immunosuppression protocols, rejection is still very frequent in the first 12 months, and can result in long-term graft loss. The future of intestinal transplantation and multivisceral transplantation appears promising. The major challenge is early recognition of acute rejection in order to prevent graft loss, opportunistic infections associated to complications, post-transplant lymphoproliferative disease and graft versus host disease; and consequently, improve results in the long run.Instituto Israelita de Ensino e Pesquisa Albert Einstein2015-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100024einstein (São Paulo) v.13 n.1 2015reponame:Einstein (São Paulo)instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)instacron:IIEPAE10.1590/S1679-45082015RW3155info:eu-repo/semantics/openAccessMeira Filho,Sérgio PaivaGuardia,Bianca DellaEvangelista,Andréia SilvaMatielo,Celso Eduardo LourençoNeves,Douglas BastosPandullo,Fernando LuisFelga,Guilherme Eduardo GonçalvesAlves,Jefferson André da SilvaCurvelo,Lilian AmorimDiaz,Luiz Gustavo GuedesRusi,Marcela BalboViveiros,Marcelo de MeloAlmeida,Marcio Dias deEpstein,Marina GabriellePedroso,Pamella TungSalvalaggio,PaoloMeirelles Júnior,Roberto FerreiraRocco,Rodrigo AndreyAlmeida,Samira Scalso deRezende,Marcelo Bruno deeng2015-08-03T00:00:00Zoai:scielo:S1679-45082015000100024Revistahttps://journal.einstein.br/pt-br/ONGhttps://old.scielo.br/oai/scielo-oai.php||revista@einstein.br2317-63851679-4508opendoar:2015-08-03T00:00Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE)false |
dc.title.none.fl_str_mv |
Intestinal and multivisceral transplantation |
title |
Intestinal and multivisceral transplantation |
spellingShingle |
Intestinal and multivisceral transplantation Meira Filho,Sérgio Paiva Transplantation Intestine small/transplantation Transplantation chimera Tissue donors Transplantation immunology |
title_short |
Intestinal and multivisceral transplantation |
title_full |
Intestinal and multivisceral transplantation |
title_fullStr |
Intestinal and multivisceral transplantation |
title_full_unstemmed |
Intestinal and multivisceral transplantation |
title_sort |
Intestinal and multivisceral transplantation |
author |
Meira Filho,Sérgio Paiva |
author_facet |
Meira Filho,Sérgio Paiva Guardia,Bianca Della Evangelista,Andréia Silva Matielo,Celso Eduardo Lourenço Neves,Douglas Bastos Pandullo,Fernando Luis Felga,Guilherme Eduardo Gonçalves Alves,Jefferson André da Silva Curvelo,Lilian Amorim Diaz,Luiz Gustavo Guedes Rusi,Marcela Balbo Viveiros,Marcelo de Melo Almeida,Marcio Dias de Epstein,Marina Gabrielle Pedroso,Pamella Tung Salvalaggio,Paolo Meirelles Júnior,Roberto Ferreira Rocco,Rodrigo Andrey Almeida,Samira Scalso de Rezende,Marcelo Bruno de |
author_role |
author |
author2 |
Guardia,Bianca Della Evangelista,Andréia Silva Matielo,Celso Eduardo Lourenço Neves,Douglas Bastos Pandullo,Fernando Luis Felga,Guilherme Eduardo Gonçalves Alves,Jefferson André da Silva Curvelo,Lilian Amorim Diaz,Luiz Gustavo Guedes Rusi,Marcela Balbo Viveiros,Marcelo de Melo Almeida,Marcio Dias de Epstein,Marina Gabrielle Pedroso,Pamella Tung Salvalaggio,Paolo Meirelles Júnior,Roberto Ferreira Rocco,Rodrigo Andrey Almeida,Samira Scalso de Rezende,Marcelo Bruno de |
author2_role |
author author author author author author author author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Meira Filho,Sérgio Paiva Guardia,Bianca Della Evangelista,Andréia Silva Matielo,Celso Eduardo Lourenço Neves,Douglas Bastos Pandullo,Fernando Luis Felga,Guilherme Eduardo Gonçalves Alves,Jefferson André da Silva Curvelo,Lilian Amorim Diaz,Luiz Gustavo Guedes Rusi,Marcela Balbo Viveiros,Marcelo de Melo Almeida,Marcio Dias de Epstein,Marina Gabrielle Pedroso,Pamella Tung Salvalaggio,Paolo Meirelles Júnior,Roberto Ferreira Rocco,Rodrigo Andrey Almeida,Samira Scalso de Rezende,Marcelo Bruno de |
dc.subject.por.fl_str_mv |
Transplantation Intestine small/transplantation Transplantation chimera Tissue donors Transplantation immunology |
topic |
Transplantation Intestine small/transplantation Transplantation chimera Tissue donors Transplantation immunology |
description |
Intestinal transplantation has shown exceptional growth over the past 10 years. At the end of the 1990’s, intestinal transplantation moved out of the experimental realm to become a routine practice in treating patients with severe complications related to total parenteral nutrition and intestinal failure. In the last years, several centers reported an increasing improvement in survival outcomes (about 80%), during the first 12 months after surgery, but long-term survival is still a challenge. Several advances led to clinical application of transplants. Immunosuppression involved in intestinal and multivisceral transplantation was the biggest gain for this procedure in the past decade due to tacrolimus, and new inducing drugs, mono- and polyclonal anti-lymphocyte antibodies. Despite the advancement of rigid immunosuppression protocols, rejection is still very frequent in the first 12 months, and can result in long-term graft loss. The future of intestinal transplantation and multivisceral transplantation appears promising. The major challenge is early recognition of acute rejection in order to prevent graft loss, opportunistic infections associated to complications, post-transplant lymphoproliferative disease and graft versus host disease; and consequently, improve results in the long run. |
publishDate |
2015 |
dc.date.none.fl_str_mv |
2015-03-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100024 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1679-45082015000100024 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S1679-45082015RW3155 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
publisher.none.fl_str_mv |
Instituto Israelita de Ensino e Pesquisa Albert Einstein |
dc.source.none.fl_str_mv |
einstein (São Paulo) v.13 n.1 2015 reponame:Einstein (São Paulo) instname:Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) instacron:IIEPAE |
instname_str |
Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
instacron_str |
IIEPAE |
institution |
IIEPAE |
reponame_str |
Einstein (São Paulo) |
collection |
Einstein (São Paulo) |
repository.name.fl_str_mv |
Einstein (São Paulo) - Instituto Israelita de Ensino e Pesquisa Albert Einstein (IIEPAE) |
repository.mail.fl_str_mv |
||revista@einstein.br |
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1752129907858604032 |