Successful small-bowel/liver transplantation

Lancet. 1990 Jan 27;335(8683):181-4. doi: 10.1016/0140-6736(90)90275-a.


A patient with the short-gut syndrome and antithrombin III deficiency underwent small bowel and liver grafting a year ago. Transient, mild graft-versus-host disease and intestinal rejection occurred within 2 months of grafting and were easily managed. Parenteral nutrition was discontinued 8 weeks after surgery. The patient has maintained normal nutritional indices while on an unrestricted oral diet. Small-bowel/liver grafting is feasible for patients with the short-gut syndrome and associated liver disorders. Further experience is needed to determine the specific risks, benefits, and general applicability of this procedure.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Fats / analysis
  • Feces / analysis
  • Female
  • Humans
  • Intestine, Small / transplantation*
  • Liver / metabolism
  • Liver Transplantation* / adverse effects
  • Malabsorption Syndromes / surgery*
  • Monitoring, Immunologic
  • Prognosis
  • Reoperation
  • Short Bowel Syndrome / surgery*
  • Thoracotomy / adverse effects
  • Xylose / urine


  • Fats
  • Xylose