Intestinales Versagen und Darmtransplantation

Manuel Braun; Alfred Königsrainer; Silvio Nadalin

doi:10.1055/s-0043-109355

Allgemein- und Viszeralchirurgie up2date, Inhaltsverzeichnis

Allgemein- und Viszeralchirurgie up2date 2017; 11(06): 585-602
DOI: 10.1055/s-0043-109355

Viszerale Transplantationen

Georg Thieme Verlag KG Stuttgart · New York

Intestinales Versagen und Darmtransplantation

Manuel Braun

,

Alfred Königsrainer

,

Silvio Nadalin

Abstract

Alle Artikel dieser Rubrik

Das Darmversagen ist ein ernst zu nehmendes Krankheitsbild; etwa die Hälfte der Betroffenen sind Kinder. Dieser Artikel soll einen Überblick über die Definition, Klassifikation, Epidemiologie und Ätiologie des Darmversagens bieten mit einem kurzen Einblick in konservative Therapiemöglichkeiten. Einen Schwerpunkt bildet die chirurgische Therapie und insbesondere die Darmtransplantation als Ultima Ratio.

Schlüsselwörter

Darmversagen - Darmtransplantation - Darmrehabilitation - Kurzdarmsyndrom (KDS) - parenterale Ernährung - enterale Ernährung - Darmverlängerung

Volltext

Referenzen

Literatur
1 von Websky MW, Liermann U, Buchholz BM. et al. Das Kurzdarmsyndrom in Deutschland. Chirurg 2014; 85: 433-439 doi:10.1007/s00104-013-2605-x
2 Lamprecht G, Pape UF, Witte M. et al. S3-Leitlinie der Deutschen Gesellschaft für Ernährungsmedizin e. V. in Zusammenarbeit mit der AKE, der GESKES und der DGVS. Aktuelle Ernährungsmed 2014; 39: e57-e71 doi:10.1055/s-0034-1369922
3 Bharadwaj S, Tandon P, Gohel TD. et al. Current status of intestinal and multivisceral transplantation. Gastroenterol Rep (Oxf) 26.01.2017; pii:gow045 doi:10.1093/gastro/gow045
4 Pironi L, Arends J, Baxter J. et al. ESPEN endorsed recommendations. Definition and classification of intestinal failure in adults. Clin Nutr 2015; 34: 171-180 doi:10.1016/j.clnu.2014.08.017
5 Abu-Elmagd KM, Costa G, McMichael D. et al. Autologous reconstruction and visceral transplantation for management of patients with gut failure after bariatric surgery: 20 years of experience. Ann Surg 2015; 262: 586-601 doi:10.1097/SLA.0000000000001440
6 Fishbein TM. Intestinal transplantation. New Engl J Med 2009; 361: 998-1008 doi:10.1056/NEJMra0804605
7 Grant D, Abu-Elmagd K, Mazariegos G. et al. Intestinal transplant registry report: global activity and trends. Am J Transplant 2015; 15: 210-219 doi:10.1111/ajt.12979
8 Pironi L, Arends J, Bozzetti F. et al. ESPEN guidelines on chronic intestinal failure in adults. Clin Nutr 2016; 35 (02) 247-307
9 Iyer KR, Kunecki M, Boullata JI. et al. Independence from parenteral nutrition and intravenous fluid support during treatment with teduglutide among patients with intestinal failure associated with short bowel syndrome. JPEN J Parenter Enteral Nutr 2017; 41: 946-951
10 Jeppesen PB, Gilroy R, Pertkiewicz M. et al. Randomised placebo-controlled trial of teduglutide in reducing parenteral nutrition and/or intravenous fluid requirements in patients with short bowel syndrome. Gut 2011; 60: 902-914 doi:10.1136/gut.2010.218271
11 Harrison E, Allan P, Ramu A. et al. Management of intestinal failure in inflammatory bowel disease: small intestinal transplantation or home parenteral nutrition?. World J Gastroenterol 2014; 20: 3153-3163
12 Lacaille F, Gupte G, Colomb V. et al. Intestinal failure-associated liver disease: a position paper of the ESPGHAN Working Group of Intestinal Failure and Intestinal Transplantation. J Pediatr Gastroenterol Nutr 2015; 60: 272-283
13 Sudan D. The current state of intestine transplantation: indications, techniques, outcomes and challenges. Am J Transplant 2014; 14: 1976-1984 doi:10.1111/ajt.12812
14 Grant JP. Anatomy and physiology of venous system vascular access: implications. JPEN J Parenter Enteral Nutr 2006; 30 (Suppl) S7-S12
15 Denny jr. DF. Venous access salvage techniques. Tech Vasc Interv Radiol 2011; 4: 225-232
16 Schaffler H, Daraban AM, Roggenbrod S. et al. Characterization of refractory port-related blood stream infections in intestinal failure patients on parenteral nutrition. Z Gastroenterol 2011; 49: 335-339
17 Versleijen MW, Huisman-de Waal GJ, Kock MC. et al. Arteriovenous fistulae as an alternative to central venous catheters for delivery of long-term home parenteral nutrition. Gastroenterology 2009; 136: 1577-1584
18 Christensen LD, Holst M, Bech LF. et al. Comparison of complications associated with peripherally inserted central catheters and Hickman catheters in patients with intestinal failure receiving home parenteral nutrition. Six-year follow up study. Clin Nutr 2016; 35: 912-917
19 Piper HG, Wales PW. Prevention of catheter-related blood stream infections in children with intestinal failure. Curr Opin Gastroenterol 2013; 29: 1-6
20 Ardura MI, Lewis J, Tansmore JL. et al. Central catheter-associated bloodstream infection reduction with ethanol lock prophylaxis in pediatric intestinal failure: broadening quality improvement initiatives from hospital to home. JAMA Pediatr 2015; 169: 324-331
21 Olthof ED, Nijland R, Gulich AF. et al. Microbiocidal effects of various taurolidine containing catheter lock solutions. Clin Nutr 2015; 34: 309-314
22 Olthof ED, Versleijen MW, Huisman-de Waal G. et al. Taurolidine lock is superior to heparin lock in the prevention of catheter related bloodstream infections and occlusions. PLoS One 2014;
23 Selvaggi G, Gyamfi A, Kato T. et al. Analysis of vascular access in intestinal transplant recipients using the Miami classification from the VIIIth International Small Bowel Transplant Symposium. Transplantation 2005; 27: 1639-1643
24 Rege A. The surgical approach to short bowel syndrome – autologous reconstruction versus transplantation. Viszeralmedizin 2014; 30 (03) 179-189 doi:10.1159/000363589
25 Bianchi A. Intestinal loop lengthening – a technique for increasing small intestinal length. J Pediatr Surg 1980; 15: 145-151
26 Kim HB, Fauza D, Garza J. et al. Serial transverse enteroplasty (STEP): a novel bowel lengthening procedure. J Pediatr Surg 2003; 38: 425-429
27 Sudan D, Thompson J, Botha J. et al. Comparison of intestinal lengthening procedures for patients with short bowel syndrome. Ann Surg 2007; 246: 593-601
28 King B, Carlson G, Khalil BA. et al. Intestinal bowel lengthening in children with short bowel syndrome: systematic review of the Bianchi and STEP procedures. World J Surg 2013; 37: 694-704 doi:10.1007/s00268-012-1879-3
29 Eid KR, Costa G, Bond GJ. et al. An innovative sphincter preserving pull-through technique with en bloc colon and small bowel transplantation. Am J Transplant 2010; 10: 1940-1946 doi:10.1111/j.1600-6143.2010.03167.x
30 Goulet O, Colomb-Jung V, Joly F. Role of the colon in short bowel syndrome and intestinal transplantation. J Pediatr Gastroenterol Nutr 2009; 48 Suppl 2: S66-S71
31 Kato T, Selvaggi G, Gaynor JJ. et al. Inclusion of donor colon and ileocecal valve in intestinal transplantation. Transplantation 2008; 86: 293-297
32 Grant D, Abu-Elmagd K, Reyes J. et al. 2003 report of the intestine transplant registry: a new era has dawned. Ann Surg 2005; 241: 607-613
33 Abu-Elmagd KM, Costa G, Bond GJ. et al. Five hundred intestinal and multivisceral transplantations at a single center: major advances with new challenges. Ann Surg 2009; 250: 567-581 doi:10.1097/SLA.0b013e3181b67725
34 Abu-Elmagd KM. The small bowel contained allografts: existing and proposed nomenclature. Am J Transplant 2011; 11: 184-185 doi:10.1111/j.1600-6143.2010.03354.x
35 Krawinkel MB, Scholz D, Busch A. et al. Chronic intestinal failure in children. Dtsch Ärztebl Int 2012; 109: 409-415
36 Fischer-Frohlich CL, Konigsrainer A, Schaffer R. et al. Organ donation: when should we consider intestinal donation. Transpl Int 2012; 25: 1229-1240 doi:10.1111/j.1432-2277.2012.01556.x
37 Abu-Elmagd K, Fung J, Bueno J. et al. Logistics and technique for procurement of intestinal, pancreatic, and hepatic grafts from the same donor. Ann Surg 2000; 232: 680-687
38 Ceulemans LJ, Monbaliu D, De Roover A. et al. Belgian multicenter experience with intestinal transplantation. Transpl Int 2015; 28: 1362-1370 doi:10.1111/tri.12615
39 Konigsrainer A, Ladurner R, Iannetti C. et al. The ‘Blind Innsbruck Ostomy’, a cutaneous enterostomy for long-term histologic surveillance after small bowel transplantation. Transpl Int 2007; 20: 867-874
40 Gupte GL, Haghighi KS, Sharif K. et al. Surgical complications after intestinal transplantation in infants and children – UK experience. J Pediatr Surg 2010; 45: 1473-1478 doi:10.1016/j.jpedsurg.2009.08.026
41 Sheth J, Sharif K, Lloyd C. et al. Staged abdominal closure after small bowel or multivisceral transplantation. Pediatr Transplant 2012; 16: 36-40 doi:10.1111/j.1399-3046.2011.01597.x
42 Gondolesi G, Selvaggi G, Tzakis A. et al. Use of the abdominal rectus fascia as a nonvascularized allograft for abdominal wall closure after liver, intestinal, and multivisceral transplantation. Transplantation 2009; 87: 1884-1888
43 Pascher A, Kohler S, Neuhaus P. et al. Present status and future perspectives of intestinal transplantation. Transpl Int 2008; 21: 401-414 doi:10.1111/j.1432-2277.2008.00637.x
44 Gerlach UA, Vrakas G, Sawitzki B. et al. Abdominal wall transplantation: skin as a sentinel marker for rejection. Am J Transplant 2016; 16: 1892-1900 doi:10.1111/ajt.13693
45 Lacaille F, Irtan SA-Ohoo, Dupic L. et al. Twenty-eight years of intestinal transplantation in Paris: experience of the oldest European center. Transpl Int 2017; 30: 178-186 doi:10.1111/tri.12894
46 Pirenne J, Kawai M. Intestinal transplantation: evolution in immunosuppression protocols. Curr Opin Organ Transplant 2009; 14: 250-255 doi:10.1097/MOT.0b013e32832b2eb7
47 Sasaki T, Hasegawa T, Nakai H. et al. Zoom endoscopic evaluation of rejection in living-related small bowel transplantation. Transplantation 2002; 73: 560-564