Programs

Intestinal Failure and Transplantation

Introduction

Introduction |  Causes |  What Is It |  Cases for Transplant | 
Candidates |  Types |  Expectations |  Needed for Evaluation | 
Expectations for Evaluation |  History

The Intestinal Failure and Transplantation Program at Mount Sinai is designed to treat patients who suffer from disabling intestinal disorders, many of whom are on total parenteral nutrition (TPN) for irreversible intestinal failure. At Mount Sinai we have developed a team approach that includes many specialists from different fields working together to achieve the best possible result for the patient.

Patients who are stable on TPN and who have never had any complications may be able to remain on this therapy even though it restricts their lifestyle. However, the chance of dying from the complications of TPN increases over time and with the number of episodes. Therefore, it is in the patient's best interest that evaluation not be delayed until one is desperately ill. If transplantation is the chosen approach, patients who receive a successful transplant can return to a near normal diet and no longer require TPN.

Ours is one of only a handful of well-established programs in intestinal transplantation. We evaluate each patient on an individual basis and seek to establish which of three protocols is best for the patient. These protocols are 1) intestinal (small intestine, or small bowel) transplantation, 2) bowel rehabilitation, and 3) management on total parenteral nutrition. We depend upon each patient's referring physician to provide us with a detailed medical history, which enables us to evaluate the patient's condition and prognosis thoroughly. Following treatment at Mount Sinai, we will work with the referring physician to help maintain the patient's optimum health level.

Contact Information

Kishore Iyer, M.D.

Surgical Director
Tel: (212) 659-9300
E-mail: kishore.iyer@mountsinai.org