Endoscopic Surveillance of the Intestinal Allograft: Recommendations From the Intestinal Rehabilitation and Transplant Association Working Group.


Journal

Transplantation
ISSN: 1534-6080
Titre abrégé: Transplantation
Pays: United States
ID NLM: 0132144

Informations de publication

Date de publication:
19 Sep 2023
Historique:
pubmed: 19 9 2023
medline: 19 9 2023
entrez: 19 9 2023
Statut: aheadofprint

Résumé

Intestinal transplant (ITx) rejection lacks a reliable noninvasive biomarker and rejection surveillance relies on serial endoscopies and mucosal biopsies followed by histologic assessment. Endoscopic biopsies are also essential for identifying other ITx-related complications such as infectious, allergic, and inflammatory graft enteritis as well as post-transplant lymphoproliferative disease or graft versus host disease. In spite of its central role in ITx, published guidelines on endoscopy and biopsy are lacking and significant variability between centers in terms of timing and technical performance exists. Therefore, an international expert group convened and discussed several aspects related to the surveillance endoscopy after ITx with the aim to summarize and standardize its practice. This article summarizes these considerations on endoscopic ITx monitoring and highlights practices of surveillance and for-cause endoscopy, biopsy techniques, pathologic evaluation, potential risks and complications, outsourcing, and less-invasive monitoring techniques.

Identifiants

pubmed: 37723639
doi: 10.1097/TP.0000000000004785
pii: 00007890-990000000-00548
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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Auteurs

Jennifer Garcia (J)

Miami Transplant Institute, University of Miami/Jackson Memorial Hospital, Miami, FL.

Mihai Oltean (M)

Sahlgrenska Intestinal Failure and Transplant Center, Sahlgrenska University Hospital, Gothenburg, Sweden.

Carolina Rumbo (C)

Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina.

Lisa Sharkey (L)

Department of Gastroenterology, Intestinal Failure and Intestinal/Multivisceral Transplant, Cambridge University Hospital, Cambridge, United Kingdom.

Stuart S Kaufman (SS)

Medstar Georgetown Transplant Institute, Washington, DC.

Esther Ramos Boluda (E)

Intestinal Rehabilitation Unit, University Hospital La Paz, Madrid, Spain.

Girish Gupte (G)

Birmingham Children's Hospital, Birmingham, United Kingdom.

Mercedes Martinez (M)

Center for Liver Disease and Abdominal Organ Transplantation, Columbia University Medical Center, New York, NY.

Jang Moon (J)

Recanati Miller Transplantation Institute, New York, NY.

Vikram Raghu (V)

Children's Hospital of Pittsburgh, Hillman Center for Pediatric Transplantation, University of Pittsburgh Medical Center, Pittsburgh, PA.

Maria Cristina Segovia (MC)

Duke University Medical Center, Durham, NC.

Debra Sudan (D)

Duke University Medical Center, Durham, NC.

Cécile Talbotec (C)

Pediatric Gastroenterology-Hepatology-Nutrition, Hôpital Necker-Enfants Malades, Paris, France.

Jonas Varkey (J)

Sahlgrenska Intestinal Failure and Transplant Center, Sahlgrenska University Hospital, Gothenburg, Sweden.

Gabriel E Gondolesi (GE)

Hospital Universitario Fundación Favaloro, Buenos Aires, Argentina.

George Mazariegos (G)

Children's Hospital of Pittsburgh, Hillman Center for Pediatric Transplantation, University of Pittsburgh Medical Center, Pittsburgh, PA.

Robert Venick (R)

Mattel Children's Hospital UCLA, Los Angeles, CA.

Classifications MeSH