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The Indications and Outcomes of Ileostomy Following Pancreas Transplantation 胰腺移植后回肠造口术的适应证和疗效
Pub Date : 1900-01-01 DOI: 10.16966/2473-1730.119
Okidi Oo, Pretorian Mm, Forgacs B, Campbell B, T. A
Background: Pancreas transplantation is associated with high incidence of intra-abdominal sepsis and reoperations. There is little data on the incidence and need for an ileostomy post pancreas transplantation. However, it is noted anecdotally that this is not uncommon occurrence post enteric drained pancreas transplantation.
背景:胰腺移植与腹内败血症和再手术的高发相关。关于胰腺移植后回肠造口的发生率和必要性的数据很少。然而,值得注意的是,这种情况在肠内引流胰腺移植后并不罕见。
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引用次数: 0
Fecal Microbiota Transplantation as a Novel Method of Multidrug-Resistant Infections Treatment in Allogeneic Hematopoietic Stem Cell Transplantation Recipients 粪便微生物群移植作为治疗异基因造血干细胞移植受者多药耐药感染的新方法
Pub Date : 1900-01-01 DOI: 10.16966/2473-1730.117
K. M, Goloshchapov O, S. M., Klementeva R, Shcherbakov A, S. A., Kazantsev I, Moiseev I, Zubarovskaya L, Afanasyev B
This short communication accompanies our presentation at the 43rd Annual meeting of the European Society for Blood and Marrow Transplantation held in Marseille, France, 26-29 March 2017. Also it briefly summaries some recent advances in fecal microbiota transplantation (FMT) for treatment of infections in allogeneic hematopoietic stem cell transplantation (allo-HSCT) recipients. AlloHSCT is an effective method of treatment for some hematological, malignant and hereditary conditions in adults and children. However, allo-HSCT is also associated with several potentially life-threatening complications. Among the most common causes for transplantassociated mortality are antibiotic-resistant bloodstream infections and immune complications, such as acute and chronic graft-versushost disease (GvHD). In most cases, gastrointestinal tract (GIT) is primarily damaged post-HSCT due to enhanced inflammation, GvHD, and intestinal infections causing serious diarrhea, in particular pseudomembranous colitis associated with Clostridium difficile, which often develops in patients receiving massive antibiotic therapy. Normal intestinal microbiota elimination is itself an important risk factor for sepsis, GIT GvHD, pseudo-membranous colitis and antibiotic-associated diarrhea post-HSCT. FMT from healthy donors allows restoring the physiological variability and functional activity of intestinal microbiota leading to pathogens eradication in patients with GIT infections.
我们在2017年3月26日至29日在法国马赛举行的第43届欧洲血液和骨髓移植学会年会上发表了这篇简短的报告。并简要总结了粪便微生物群移植(FMT)治疗同种异体造血干细胞移植(alloo - hsct)受者感染的最新进展。同种异体造血干细胞移植是治疗成人和儿童某些血液病、恶性和遗传性疾病的有效方法。然而,同种异体造血干细胞移植也与一些潜在的危及生命的并发症有关。移植相关死亡的最常见原因是抗生素耐药血流感染和免疫并发症,如急性和慢性移植物抗宿主病(GvHD)。在大多数情况下,胃肠道(GIT)主要在hsct后受损,原因是炎症增强、GvHD和肠道感染,导致严重腹泻,特别是与艰难梭菌相关的假膜性结肠炎,通常发生在接受大量抗生素治疗的患者中。正常肠道菌群的消除本身就是hsct后脓毒症、GIT GvHD、假性膜性结肠炎和抗生素相关性腹泻的重要危险因素。来自健康供体的FMT允许恢复胃肠道微生物群的生理变异性和功能活性,从而根除胃肠道感染患者的病原体。
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引用次数: 0
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Transplantation Research Journal
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