Cadaveric small bowel/split liver transplantation in a child

E. S. Xenos, F. Khan, J. Nery, R. Romero, J. Mocros, A. Tzakis

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Scarcity of size-matched grafts continues to be a major limiting factor for liver and combined liver/intestinal transplants in the pediatric population. It is reported that 29% of pediatric patients listed for hepatic transplantation die while waiting for a donor. The reported mortality of pediatric patients awaiting intestinal transplantation is about 40%. We report on a technique of segmental liver and intestinal transplantation in a child. To our knowledge, this is the first report of a combined split liver-intestinal transplantation. We used a cadaveric donor, but the technique can also be performed with a live donor. The adult recipient of one segment of the liver was discharged home without complications. The child who received the combined liver intestinal graft developed intestinal perforation and severe rejection and died. If this technique is applied successfully, the adverse effects and mortality of a long pretransplant waiting period in pediatric patients may be avoided.

Original languageEnglish
Pages (from-to)63-67
Number of pages5
JournalTransplant International
Issue number1
StatePublished - Jan 1999


  • Small bowel transplantation, pediatric
  • Split liver transplantation, pediatric

ASJC Scopus subject areas

  • Transplantation


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