Small bowel (intestinal) transplant
Duke's small bowel transplant program is one of the few centers in the nation to care for adults and children with severe intestinal disease, including short bowel syndrome. Our physicians and surgeons test new techniques and therapies, and help to set national guidelines for intestinal transplants.
Top small bowel (intestinal) transplant program
Patients with severe intestinal disease choose our experienced small bowel transplant program because our 100 percent, one-year survival rate far exceeds the national average of only 65 to 70 percent. Our patients often experience severe intestinal disease caused by conditions including Crohn's disease, trauma, a tumor or short bowel syndrome. We are the only small bowel transplant program in the Carolinas, and one of fewer than 20 active programs in the U.S. In addition to our experience, patients come here for our personal touch. Everyone on your transplant team is dedicated to giving you the best care possible.
- Experienced with complicated procedures. We offer isolated small bowel transplants and multi-organ transplants that include the small intestine, liver, pancreas and kidney.
- Comprehensive care before and after transplant. We educate you and your family about your emotional and physical needs before and after transplant.
- Alternatives to transplant. If you have severe intestinal disease, including short bowel syndrome, and are not a transplant candidate, we recommend surgical options that work for you.
- Team of caring coordinators. Our transplant coordinators are advanced care nurses who help you navigate through the process and address your concerns. They can answer questions that you and your caregivers’ may have about the initial evaluation, the surgical procedure, financial concerns, physical and emotional needs, and dietary requirements.
- Doctors advance the field. Our experienced doctors are dedicated researchers who are developing and testing new techniques and treatments to advance transplantation. Our surgeons and specialists are well known in the field, with many serving in leadership roles for national transplant organizations. Their expertise is helping to set national guidelines in abdominal transplantation.
SMALL BOWEL (INTESTINAL) TRANSPLANT
Before your small bowel transplant
Determines whether intestinal transplantation is the appropriate therapy. The process may take several days, depending on what tests or screenings you’ll need. A transplant coordinator will help you plan your visit.
If you are considered a candidate for small bowel transplant, you will be listed in the national database maintained and administered by the United Network for Organ Sharing (UNOS). Once you receive notification that an organ is available, you will need to arrive at Duke promptly. If you and your family need to relocate to the Durham area, a transplant coordinator can assist you in gathering resources and support.
You will participate in transplant education classes led by our transplant coordinators. They teach you and your caregivers about the transplant process, the medications you will need to take and the recovery process.
We involve your designated caregivers -- family members or friends -- from the time of your first evaluation through recovery. They attend your appointments and we educate them about their important role in your care after surgery. They are our partners in restoring your health as quickly as possible.
SMALL BOWEL (INTESTINAL) TRANSPLANT
After your small bowel transplant
Although organ rejection may follow transplants, our innovative strategies to prevent organ rejection and injury are a documented success. We provide you and your caregivers the resources and support you need to live a healthy life after transplantation. Our transplant coordinators are always available to answer your questions or address your concerns.
We offer support groups for all of our transplant patients. Led by social workers, these sessions give transplant patients and their loved ones a chance to meet with others for emotional support, to ask questions and share information about issues such as medications, nutrition and exercise.