Small intestinal transplantation using cyclosporine: report of a case

A case of small intestinal allotransplantation is described. Cyclosporine and Solumedrol were used for immunosuppression. A hemolytic episode occurred, caused by anti-A antibodies derived from graft lymphocytes. Sudden severe encephalopathy developed on the ninth postoperative day, followed by intra...

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Veröffentlicht in:Transplantation 1986-12, Vol.42 (6), p.613-621
Hauptverfasser: COHEN, Z, SILVERMAN, R. E, WASSEF, R, LEVY, G. A, BURNSTEIN, M, CULLEN, J, MAKOWKA, L, LANGER, B, GREENBERG, G. R
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container_end_page 621
container_issue 6
container_start_page 613
container_title Transplantation
container_volume 42
creator COHEN, Z
SILVERMAN, R. E
WASSEF, R
LEVY, G. A
BURNSTEIN, M
CULLEN, J
MAKOWKA, L
LANGER, B
GREENBERG, G. R
description A case of small intestinal allotransplantation is described. Cyclosporine and Solumedrol were used for immunosuppression. A hemolytic episode occurred, caused by anti-A antibodies derived from graft lymphocytes. Sudden severe encephalopathy developed on the ninth postoperative day, followed by intractable hypotension and death. Hepatic and splenic microinfarcts were identified on postmortem examination. Allograft rejection was identified by serial stomal biopsies and correlated with a rise in monocyte procoagulant activity, a potentially useful serologic marker of rejection. The absence of an anatomic circuit for recycling of cyclosporine did not alter serum radioimmunoassay/high-performance liquid chromatography ratios.
doi_str_mv 10.1097/00007890-198612000-00008
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source MEDLINE; Journals@Ovid Complete
subjects Adult
Biological and medical sciences
Cyclosporins - therapeutic use
Female
Gardner Syndrome - therapy
Graft Rejection
Humans
Immunomodulators
Immunosuppression
Infarction
Intestine, Small - transplantation
Liver - blood supply
Medical sciences
Pharmacology. Drug treatments
Prednisone - pharmacology
Splenic Infarction
Time Factors
title Small intestinal transplantation using cyclosporine: report of a case
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