CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2014; 24(04): 379-388
DOI: 10.4103/0971-3026.143900
Transplant Imaging

Imaging in pediatric small bowel transplantation

Nadir Khan
Department of Radiology, City General Hospital. University Hospital of North Staffordshire, UK
,
Grace S Phillips
Department of Radiology, Seattle Children′s Hospital, University of Washington, Seattle, WA
,
Matthew T Heller
Department of Radiology, University of Pittsburg Medical Center, Pittsburg, PA
,
Leann E Linam
Department of Radiology, Arkansas Children′s Hospital, Little Rock, AR
,
Shawn E Parnell
Department of Radiology, Seattle Children′s Hospital, University of Washington, Seattle, WA
,
Mariam Moshiri
Department of Radiology, University of Washington Medical Center, Seattle, WA
,
Puneet Bhargava
Department of Radiology, University of Washington and VA Puget Sound Health Care System, Seattle, WA
› Author Affiliations

Abstract

Small bowel transplantation, alone or with other organs as multivisceral transplantation, is performed for patients with chronic intestinal failure. With advancing surgical techniques and improved post-surgical management, survival of these patients has increased tremendously in the last two decades. The radiologist has an important role in the preoperative and postoperative management of these patients. Knowledge of surgical techniques and post-surgical complications seen in the transplant recipient is necessary for adequate management of these patients.



Publication History

Article published online:
02 August 2021

© 2014. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 
  • References

  • 1 Kocoshis SA, Reyes J, Todo S, Starzl TE. Small intestinal transplantation for irreversible intestinal failure in children. Dig Dis Sci 1997;42:1997-2008.
  • 2 Godfrey EM, Upponi SS, See TC, Cheow HK, Sivaprakasam R, Butler AJ, et al. A radiologist′s guide to small bowel and multivisceral transplantation. Clin Radiol 2013;68:983-91.
  • 3 Healthcare Systems Bureau, Division of Transplantation. Department of Health and Human Services. 2011 Annual Report of the U.S. Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients: Transplant Data 1997-2009. Rockville, MD: Health Resources and Services Administration; 2011. 
  • 4 Watson AJ, Lear PA. Current status of intestinal transplantation. Gut 1989;30:1771-82.
  • 5 Cai J. Intestine and multivisceral transplantation in the United States: A report of 20-year national registry data (1990-2009). Clin Transpl 2009:83-101.
  • 6 Kelly DA. Liver complications of pediatric parenteral nutrition-epidemiology. Nutrition 1998;14:153-7.
  • 7 Phillips GS, Bhargava P, Stanescu L, Dick AA, Parnell SE. Pediatric intestinal transplantation: Normal radiographic appearance and complications. Pediatr Radiol 2011;41:1028-39.
  • 8 Unsinn KM, Koenigsrainer A, Rieger M, Czermak BV, Ellemunter H, Margreiter R, et al. Spectrum of imaging findings after intestinal, liver-intestinal, or multivisceral transplantation: Part 1, posttransplantation anatomy. AJR Am J Roentgenol 2004;183:1275-83.
  • 9 Cipriani R, Contedini F, Santoli M, Gelati C, Sgarzani R, Cucchetti A, et al. Abdominal wall transplantation with microsurgical technique. Am J Transplant 2007;7:1304-7.
  • 10 Benedetti E, Holterman M, Asolati M, Di Domenico S, Oberholzer J, Sankary H, et al. Living related segmental bowel transplantation: From experimental to standardized procedure. Ann Surg 2006;244:694-9.
  • 11 Panaro F, Testa G, Balakrishnan N, Rao B, Bogetti D, Jarzembowski T, et al. Living related small bowel transplantation in children: 3-dimensional computed tomography donor evaluation. Pediatr Transplant 2004;8:65-70.
  • 12 Unsinn KM, Koenigsrainer A, Rieger M, Czermak BV, Ellemunter H, Margreiter R, et al. Spectrum of imaging findings after intestinal, liver-intestinal, or multivisceral transplantation: Part 2, posttransplantation complications. AJR Am J Roentgenol 2004;183:1285-91.
  • 13 Coley BD. Pediatric applications of abdominal vascular Doppler: Part II. Pediatr Radiol 2004;34:772-86.
  • 14 Remotti H, Subramanian S, Martinez M, Kato T, Magid MS. Small-bowel allograft biopsies in the management of small-intestinal and multivisceral transplant recipients: Histopathologic review and clinical correlations. Arch Pathol Lab Med 2012;136:761-71.
  • 15 Lee BC, McGahan JP, Perez RV, Boone JM. The role of percutaneous biopsy in detection of pancreatic transplant rejection. Clin Transplant 2000;14:493-8.
  • 16 Kato T, Tzakis AG, Selvaggi G, Gaynor JJ, David AI, Bussotti A, et al. Intestinal and multivisceral transplantation in children. Ann Surg 2006;243:756-66.
  • 17 Culp WC, Vonk BN, McCowan TC, Sudan DL. Utilization and tailoring of interventional radiology procedures in small bowel transplants. Transplant Proc 2002;34:929-30.
  • 18 Furukawa A, Kanasaki S, Kono N, Wakamiya M, Tanaka T, Takahashi M, et al. CT diagnosis of acute mesenteric ischemia from various causes. AJR Am J Roentgenol 2009;192:408-16.
  • 19 Guaraldi G, Cocchi S, Codeluppi M, Di Benedetto F, De Ruvo N, Masetti M, et al. Outcome, incidence, and timing of infectious complications in small bowel and multivisceral organ transplantation patients. Transplantation 2005;80:1742-8.
  • 20 Frager DH, Baer JW, Rothpearl A, Bossart PA. Distinction between postoperative ileus and mechanical small-bowel obstruction: Value of CT compared with clinical and other radiographic findings. AJR Am J Roentgenol 1995;164:891-4.
  • 21 Reyes J, Tzakis AG, Todo S, Nour B, Starzl TE. Small bowel and liver/small bowel transplantation in children. Semin Pediatr Surg 1993;2:289-300.
  • 22 Macedo C, Sindhi R, Mazariegos GV, Abu-Elmagd K, Bond GJ, Reyes J. Sclerosing peritonitis after intestinal transplantation in children. Pediatr Transplant 2005;9:187-91.
  • 23 Nalesnik M, Jaffe R, Reyes J, Mazariegos G, Fung JJ, Starzl TE, Abu-Elmagd K. Posttransplant lymphoproliferative disorders in small bowel allograft recipients. Transplant Proc 2000;32:1213.
  • 24 Joo SH, Acun Z, Stefanovic A, Blieden CR, Ikpatt OF, Moon J. Post-transplant lymphoproliferative disorder presented as small bowel intussusception in adult liver transplant patient. J Korean Surg Soc 2012;82:50-3.
  • 25 Cronin CG, Gervais DA, Castillo CF, Mueller PR, Arellano RS. Interventional radiology in the management of abdominal collections after distal pancreatectomy: A retrospective review. AJR Am J Roentgenol 2011;197:241-6.
  • 26 Mazariegos GV, Abu-Elmagd K, Jaffe R, Bond G, Sindhi R, Martin L, et al. Graft versus host disease in intestinal transplantation. Am J Transplant 2004;4:1459-65.
  • 27 Barbas AS, Rege AS, Castleberry AW, Gommer J, Ellis MJ, Brennan TV, et al. Posterior reversible encephalopathy syndrome independently associated with tacrolimus and sirolimus after multivisceral transplantation. Am J Transplant 2013;13:808-10.
  • 28 Fernandez D, El-Azzabi TI, Jain V, Lloyd C, Wassmer E, Peake D, et al. Neurologic problems after pediatric liver transplantation and combined liver and bowel transplantations: A single tertiary center experience. Transplantation 2010;90:319-24.