Intestinal transplant

[ferac]

Hello, warm greetings from Ecuador.

In our NICU, we have a newborn to 4 days of age who has been diagnosed with intestinal atresia. This pathology in our country, we can not solve. I am writing to assess the probability that this child will do a intestinal transplant that can save your life.
Any help is welcome.

Sincerely,

Dr. Fernando Agama C.
Unidad de Neonatología
Hospital "Dr. Enrique Garcés"
Quito-Ecuador

[Stefan Johansson]

Hi from Sweden, warming up after a very heavy winter!

Why a transplant? Is it not possible to do resect the atretic part and do an end-end anastomosis?

(I have no personal experience myself from intestinal transplants. The only patient group I have seen that could be candidates are those infants short bowel syndrome. They all have long-term parenteral nutrition when they graudate from neonatal care, and to my knowledge noone has yet needed transplants later in childhood).

[ferac]

Hello, a warm greeting.

I hope that winter has passed and the cold has diminished.

The reason why the child needs an intestinal transplant is these
findings:

1) Intestinal atresia of the jejunum level (about 15 cm. of Treitz angle).
2) Intestinal agenesis of distal jejunum, ileum, cecum and transverse colon.
3) There is descending colon, sigmoid and rectum.

Atentamente,

Dr. Fernando Agama C.
Unidad de Neonatología
Hospital "Dr. Enrique Garcés"
Quito-Ecuador

[fcardona]

There are a couple of programs in the US that offer intestinal transplant (Pittsburgh, Georgetown, Childrens in Boston,..). They all have ambitious programs and are usually very supportive in helping to evaluate. Maybe you want to contact them directly?
Intestinal Transplant Programs Worldwide (http://intestinaltransplantassociation.com/?cat=72)

I see there are also people in Argentina, Brazil and Chile.

[ferac]

Thank you Dr. Cardona.
I just wrote.
May we offer a solution.

Sincerely,

Fernando Agama C.
Unidad de Neonatología
Hospital "Dr. Enrique Garcés"
Quito-Ecuador