Indications for Multivisceral Transplantation: A Systematic Review

Gastroenterol Clin North Am. 2024 Jun;53(2):245-264. doi: 10.1016/j.gtc.2024.01.007. Epub 2024 Feb 8.

Abstract

Consensus remains elusive in the definition and indications of multivisceral transplantation (MVT) within the transplant community. MVT encompasses transplantation of all organs reliant on the celiac artery axis and the superior mesenteric artery in different combinations. Some institutions classify MVT as involving the grafting of the stomach or ascending colon in addition to the jejunoileal complex. MVT indications span a wide spectrum of conditions, including tumors, intestinal dysmotility disorders, and trauma. This systematic review aims to consolidate existing literature on MVT cases and their indications, providing an organizational framework to comprehend the current criteria for MVT.

Keywords: Indications; Intestinal failure; Multivisceral transplantation.

Publication types

  • Systematic Review
  • Review

MeSH terms

  • Abdomen / pathology
  • Celiac Artery* / surgery
  • Humans
  • Neoplasms / surgery
  • Organ Transplantation* / methods
  • Viscera / transplantation
  • Wounds and Injuries / surgery