Abstract
Intestinal diseases are often associated with several comorbidities, such as thrombosis predisposition, difficult vascular access, malnutrition, and chronic parenteral nutrition systemic effects; preoperative evaluation needs to consider and manage all these conditions in order to foster intra- and postoperative outcome.
Small bowel transplantation needs accurate intraoperative monitoring of several hemodynamic and metabolic variables in order to immediately correct any life-threatening derangement; when intestine transplant is part of a multivisceral procedure or in case of coexisting liver or renal disease, appropriate adjustment of monitoring is needed, and anesthesiologic management becomes more difficult.
Postoperative course of small bowel-transplanted patients needs to consider immunologic, infective, fluid balance, and nutritional problems.
This chapter describes the main anesthesiologic points concerning preoperative evaluation of small bowel transplant candidates, the monitoring and intraoperative challenges who need to be managed by the anesthesiologist, and the most frequent postoperative complications.
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Siniscalchi, A., Gamberini, L., Faenza, S. (2015). Anesthetic and Perioperative Management for Intestinal Transplantation. In: Pinna, A., Ercolani, G. (eds) Abdominal Solid Organ Transplantation. Springer, Cham. https://doi.org/10.1007/978-3-319-16997-2_27
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DOI: https://doi.org/10.1007/978-3-319-16997-2_27
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