Evidence map›Paper›PMID 28130374›Full record

ReviewGastroenterology report2017

Current status of intestinal and multivisceral transplantation.

Shishira Bharadwaj, Parul Tandon, Tushar D Gohel, Jill Brown, Ezra Steiger, Donald F Kirby, Ajai Khanna, Kareem Abu-Elmagd

Open access · diamondAbstract readReview
In one paragraph

Review in Gastroenterology report, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 68 citations in OpenAlex.

  1. Article
  2. A standardised and reproducible method forAnnals of translational medicine · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Normothermic Preservation of the Intestinal Allograft.Gastroenterology clinics of North America · 2024
    Review
  7. Comparison of the effects of normothermic machine perfusion and cold storage preservation on porcine intestinal allograft regenerative potential and viability.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2024
    Article
  8. Intestinal Donation and Utilization: Single-Center Analysis Within Eurotransplant.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Article
  9. Review
  10. [Chronic intestinal failure].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. R-Spondin 1 (RSPO1) Increases Mouse Intestinal Organoid Unit Size and SurvivalFrontiers in bioengineering and biotechnology · 2020
    Article
  16. Variable management strategies for NEC totalis: a national survey.Journal of perinatology : official journal of the California Perinatal Association · 2019
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Shishira BharadwajCenter for Gut Rehabilitation and Transplantation, the Cleveland Clinic Foundation, Cleveland, OH, USA.
Parul TandonCenter for Gut Rehabilitation and Transplantation, the Cleveland Clinic Foundation, Cleveland, OH, USA.
Tushar D GohelCenter for Gut Rehabilitation and Transplantation, the Cleveland Clinic Foundation, Cleveland, OH, USA.
Jill BrownCenter for Gut Rehabilitation and Transplantation, the Cleveland Clinic Foundation, Cleveland, OH, USA.
Ezra SteigerCenter for Gut Rehabilitation and Transplantation, the Cleveland Clinic Foundation, Cleveland, OH, USA.
Donald F KirbyCenter for Gut Rehabilitation and Transplantation, the Cleveland Clinic Foundation, Cleveland, OH, USA.
Ajai KhannaCenter for Gut Rehabilitation and Transplantation, the Cleveland Clinic Foundation, Cleveland, OH, USA.
Kareem Abu-ElmagdCenter for Gut Rehabilitation and Transplantation, the Cleveland Clinic Foundation, Cleveland, OH, USA abuelmk@ccf.org.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Clinical-nutritional autonomy is the ultimate goal of patients with intestinal failure (IF). Traditionally, patients with IF have been relegated to lifelong parenteral nutrition (PN) once surgical and medical rehabilitation attempts at intestinal adaptation have failed. Over the past two decades, however, outcome improvements in intestinal transplantation have added another dimension to the therapeutic armamentarium in the field of gut rehabilitation. This has become possible through relentless efforts in the standardization of surgical techniques, advancements in immunosuppressive therapies and induction protocols and improvement in postoperative patient care. Four types of intestinal transplants include isolated small bowel transplant, liver-small bowel transplant, multivisceral transplant and modified multivisceral transplant. Current guidelines restrict intestinal transplantation to patients who have had significant complications from PN including liver failure and repeated infections. From an experimental stage to the currently established therapeutic modality for patients with advanced IF, outcome improvements have also been possible due to the introduction of tacrolimus in the early 1990s. Studies have shown that intestinal transplant is cost-effective within 1-3 years of graft survival compared with PN. Improved survival and quality of life as well as resumption of an oral diet should enable intestinal transplantation to be an important option for patients with IF in addition to continued rehabilitation. Future research should focus on detecting biomarkers of early rejection, enhanced immunosuppression protocols, improved postoperative care and early referral to transplant centers.

Indexed as

gut rehabilitationintestinal failureintestinal transplantmultivisceral transplantparenteral nutrition

Identifiers

PMID28130374
PMCPMC5444259
OpenAlexW2582994243

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.