Adult intestinal transplantation in the United States

Current Opinion in Organ Transplantation
Kishore Iyer, Jang Moon

Abstract

There has been a striking decline in the annual volumes of adult intestinal transplants performed in the United States from a peak in 2008, reaching its lowest volume in 2019. The current review examines the pattern and potential reasons for the decline. We observe that while improvements in intestinal rehabilitation may be contributing to some of the decline, movements of key personnel and the paucity of experts in a rarefied field may also be contributing to declining volumes. We suggest that the decline in volumes of adult intestinal transplants are likely to be multifactorial. At a time of improving transplant outcomes, the indications for intestinal transplant suggested by the Centers for Medicare and Medicaid Services, may be outdated and worthy of revision.

References

Sep 21, 2012·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Aurelien AmiotFrancisca Joly
Jan 21, 2015·Nature Reviews. Gastroenterology & Hepatology·Kareem Abu-Elmagd
Jul 19, 2018·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Simon LalUNKNOWN Home Artificial Nutrition & Chronic Intestinal Failure Special Interest Group of the European Society for Clinical Nutrition

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Citations

Feb 4, 2021·JPEN. Journal of Parenteral and Enteral Nutrition·Kishore IyerSanjeev Arora
Mar 3, 2021·Current Opinion in Organ Transplantation·Jennifer GarciaRodrigo Vianna

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