Abstract:

Objective To investigate nursing of small intestine transplantation therapeutic treatment for short bowel syndrome and end-stage bowel diseases. Methods The first small intestine transplantation in Tianjin First Center Hospital was performed on May 23rd 2008. During the small intestine transplantation, the superior mesenteric artery and the superior mesenteric vein of donor small intestine segment were anastomosed to the recipient's abdominal aorta and superior mesenteric vein respectively. A drainage tube was placed insider the donor intestine segment. The upper end of graft was anastomosed to the recipient's duodenum, while the infer end anastomosed to colon. All the anastomoses were performed by the side—side method. And a fistulization was made at the infer end of graft. Results Several strictures were found inside the lumen o￡ graft, 3 weeks after the operation. The patient also suffered from poly infection at the same time. Intravenous nutritional support, anti-rejection, antiinfection treatments were given. The body temperature of patient came down. FK506 solution was #ven by intravenous injection pump as an immune suppression therapy. Conclusions Nurses are facing more complicated daily treatments of intestine transplantation patient. More attentions should be paid to the temperature, stability of nutrient solution and the speed of instillation. The stoma was very important for biopsy. We can also find some information of graft from the stoma. Strict isolation, rigorous procedures and personal hygiene of patient are very important for preventing infections.