Successful clinical small bowel transplantation: Report of a case

Abstract
A case of allogeneic small bowel transplantation with living related organ donation in a 42‐year‐old patient is described. After the first operative step of heterotopic transplantation with two intestinal stomas, the graft was brought into continuity of the recipient's GI‐tract 6 weeks after transplantation. Immunosuppression was carried out by antithymocyte globulin, cyclosporin A and steroids. Two rejection episodes could be treated effectively with ATG and steroids respectively. Four months after the transplantation parenteral feeding could be stopped and, except for immunosuppressive drugs and fluid substitutions, complete oral nutrition is possible.