Small Intestine Transplantation
Small Intestine Transplant Surgeon in Mumbai
What is Small Bowel Transplantation?
Small bowel transplantation is a surgery where a shortened small intestine or diseased intestine with the healthy intestine. This is a complex and highly specialized operation. Although the number of operations performed has increased in recent years, it is not routinely performed. These procedures are only carried out in dedicated centers. Dr. Aditya J. Nanavati is known as the best Small Intestine Transplant Surgeon in Mumbai. He provides surgical services in small intestinal transplants, kidney-pancreas transplantation.
The small intestine or small intestine is part of the gastrointestinal tract between the stomach and the large intestine and is the main place for food digestion and absorption. The small intestine has three distinct areas: duodenum, jejunum, and ileum.
Why Small Bowel Transplantation is Done?
A Small Intestine Transplantation entrail relocation is a possibility for kids and grown-ups whose gut has quit working appropriately and who are being taken care of by all-out parenteral nourishment (TPN). This is the place where an individual requires all their nourishment to be given through a trickle into a vein in light of the fact that their inside can’t retain supplements from any food they eat.
While many individuals requiring TPN can have this treatment at home without encountering any huge issues, the drawn-out utilization of TPN can prompt genuine entanglements like liver sickness and rehashed contaminations.
A Small Intestine inside relocate might be viewed as when the individual has a difficult issue with their bowel however has created inconveniences from TPN or can’t endure this type of taking care of.
All things considered, around 8-10 hours are completed under broad sedation. During the strategy, Dr. Aditya J. Nanavati who is a Small Intestine Transplant Surgeon in Mumbai will eliminate the entrail and interface the relocated inside to your veins and stomach-related parcel. They will likewise frame an ileostomy, where a portion of the little entrail is redirected through an opening in the belly, called a stoma. The stoma will permit stomach-related waste to drop off your body into an outside pocket and allow the transfer to group effectively evaluate the wellbeing of your relocated entrail. Despite the fact that it isn’t generally conceivable, the ileostomy might be switched a couple of months after the fact.
A few people are brought into the world with or foster irreversible intestinal disappointment. Intestinal disappointment happens when an individual’s digestive organs can’t process food and assimilate the liquids, electrolytes, and supplements vital forever and ordinary turn of events. Patients should then get TPN, which gives fluid nourishment through a catheter or needle embedded into a vein in the arm, crotch, neck, or chest.
Total Parenteral Nutrition (TPN):
Patients with intestinal disappointment might get all or a large portion of their supplements and calories intravenously through complete parenteral nourishment, or TPN. TPN is given through a catheter set in the arm, crotch, neck, or chest. Patients on TPN might live for a long time, however long haul utilization of TPN can bring about genuine intricacies, like bone problems, focal venous catheter contaminations, and liver infection. On the off chance that those entanglements become perilous, and intestinal transfer might be required.
What Are The Reasons For Intestinal Failure?
The most widely recognized reason for intestinal disappointment is a short inside condition where to some degree half or a greater amount of the small digestive tract has been eliminated. Short bowel disorder is normally a postsurgical condition for the treatment of conditions like injury or necrotizing enterocolitis.
Intestinal disappointment may likewise be brought about by utilitarian issues like Crohn’s sickness, a stomach-related turmoil, or constant idiopathic intestinal pseudo-check condition. The conditions prompting intestinal disappointment are age-subordinate. That is, a few conditions are all the more firmly connected with pediatric intestinal disappointment while others are more normal with intestinal disappointment in grown-ups.
Pediatric Conditions Causing Intestinal Failure:
Intrinsic abnormalities like little entrail atresia, gastroschisis, aganglionosis Infections of the gastrointestinal parcel, for example, necrotizing enterocolitis)
Short bowel disorder following broad inside medical procedures auxiliary to mesenteric ischemia (e.g., midgut volvulus) Absorptive weakness (e.g., intestinal pseudo-check, microvillus consideration infection). Dr. Aditya J. Nanavati is a Pediatric Intestine Transplant Specialist in Mumbai who treats all the pediatric conditions causing intestinal failure.
Grown-up Conditions Causing Intestinal Failure:
- Short bowel condition following broad medical procedures optional to mesenteric ischemia (following apoplexy, embolism, volvulus, or injury)
- Fiery inside infection like Crohn’s sickness
- Short bowel tumors like Gardner’s condition (familial colorectal polyposis)
What Are The Types of Transplant Surgery?
There are three main types of transplant surgery:
- Small bowel transplantation – Recommended for intestinal failure patients without liver disease.
- Combined liver and small bowel transplantation – Recommended for intestinal failure patients with advanced liver disease
- Organ transplantation (multiple internal organs) – It is done frequently, but may be recommended for people with multiple organ failure, including transplants of the stomach, pancreas, duodenum (the first part of the small intestine), liver, and small intestine. Intestines Sometimes a section of the intestine donated by a surviving relative can be used for small bowel transplantation.
In these cases, the donor will have to undergo surgery in which part of the donated intestine and the rest of the intestine is removed.
How is Small Bowel Transplant Surgery Performed?
Small bowel transplantation is performed under general anesthesia. It takes 8 to 10 hours to complete, but it may take longer.
After the surgery when the diseased bowel is been removed, the blood vessels are connected to the transplanted bowel. Then the transplanted intestine is connected to the rest of your digestive tract or intestine.
Your surgeon will perform an ileostomy, in which part of the small intestine is bypassed through an opening (called a stoma) they make in your abdomen. An ileostomy allows digestive waste to leave your body through the stoma and into the outer bag. It helps to analyze the health of your transplanted bowel.
Why Choose Dr. Aditya J. Nanavati?
Dr. Aditya J. Nanavati is one of the best and highly experienced Pediatric Intestine Transplant Specialist in Mumbai. Dr. Aditya J. Nanavati practices as a Consultant Surgeon in Multi-Organ Transplant and Hepatobiliary Surgery. He makes visits to different hospitals across the Mumbai region.