Evaluation for Intestinal Transplantation
Once the referral process is complete, the patient will undergo a comprehensive, multidisciplinary evaluation for transplantation. This process usually requires 3 to 5 days in the hospital but can take place over several weeks as an outpatient. The evaluation provides a comprehensive assessment of a patient’s medical condition using a multidisciplinary approach that includes surgeons, gastroenterologist, hepatologist, nutritionist, TPN specialists, transplant nurse coordinators as well as many other sub-specialists. During the evaluation, patients will be assessed for the degree of intestinal failure and liver disease. A complete assessment as to the potential for bowel adaptation will be made as well as the current nutritional status of the patient. A detailed analysis of the TPN formulation and feeding regimen will be made. Radiographic examination of the abdomen and vascular access sites will be completed. Educational sessions will be arranged with the patient and family to review many aspects of their medical condition. A final session will be arranged to review the specific results of the evaluation.
Results of Evaluation for Intestinal Transplantation
The results of the evaluation will be discussed with the patient, family, and referring physicians. Medical records will be made available upon request. The final decision regarding the candidacy for intestinal transplantation is made by a multidisciplicary patient selection committee that meets 1-2 times per month. If intestinal transplantation is recommended, the exact types and special issues will be addressed. Otherwise, further intestinal rehabilitation attempts may be recommended or other non-transplant surgical options may be recommended. Sometimes, the recommendation is to follow a patient closely to determine if further TPN related complications can be prevented. In some instances, patients fail the non-transplant approach and require an abbreviated re-evaluation assessment for transplantation. A conservative approach is taken with the patient’s best interest in mind.
Intestinal Transplant Links and Downloads
What is the Intestine: Introduction to Intestinal Transplantation
The United Network for Organ Sharing (UNOS) provides a toll-free patient services lines to help transplant candidates, recipients, and family members understand organ allocation practices and transplantation data. You may also call this number to discuss problems you may be experiencing with your transplant center or the transplantation system in general. The toll-free patient services line number is 1-888-894-6361
