Intestinal Transplantation: International Outcomes.

Clinical transplants Pub Date : 2014-01-01
Armando J Ganoza, Doug G Farmer, Max A Marquez, George V Mazariegos
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Abstract

Intestinal transplantation has continued to evolve over the past decade. Fewer patients have received intestine transplants in the past 5 years, perhaps due to efforts in intestine rehabilitation. Despite improvement in earlier outcomes, long-term survival has remained steady over the past decade. This is potentially due to the complications of immunosuppression, as well as inherent poor graft half-life due to chronic rejection. Improvements in outcome will require multidisciplinary efforts to understand the long-term mechanisms of intestine graft acceptance and to properly optimize and individualize immunosuppression for the transplant recipient.

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肠移植:国际结果。
在过去的十年里,肠道移植一直在不断发展。在过去的5年中,接受肠移植的患者越来越少,这可能是由于肠道康复的努力。尽管早期预后有所改善,但在过去十年中,长期生存率保持稳定。这可能是由于免疫抑制的并发症,以及由于慢性排斥而固有的不良移植物半衰期。改善结果需要多学科的努力,以了解肠移植接受的长期机制,并适当优化和个体化移植受体的免疫抑制。
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