TY - JOUR
T1 - Quality of life after intestinal transplantation
AU - Solar, Héctor
AU - Ortega, Mariana
AU - Gondolesi, Gabriel E.
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/4/1
Y1 - 2021/4/1
N2 - Purpose of reviewIntestinal transplantation (ITx) is the last therapeutic option in chronic intestinal failure (CIF) patients who develop life-Threatening complication related to home parenteral nutrition (HPN). Improvement of quality of life (QoL) has been proposed as one of the nonconventional indications for ITx in these patients. This review aims to summarize the current evidence about QoL assessment in ITx recipients.Recent findingsSeveral studies were conducted to determine QoL in ITx patients, with differences in the samples and instruments used to assess it. Patients evaluated for ITx had lower QoL than those on HPN without complications. QoL seems to improve in most psychological, emotional and social areas after a successful ITx, a trend that seems to increase over time. These results would support the rehabilitative role of ITx for patients with irreversible CIF and impossibility to continue receiving HPN.SummaryAlthough QoL after ITx patients improved over time compared with life on HPN, the heterogeneity in the samples included in several studies, and the lack of validated assessment tools, hinder the possibility to draw conclusions about improvement of QoL after ITx.
AB - Purpose of reviewIntestinal transplantation (ITx) is the last therapeutic option in chronic intestinal failure (CIF) patients who develop life-Threatening complication related to home parenteral nutrition (HPN). Improvement of quality of life (QoL) has been proposed as one of the nonconventional indications for ITx in these patients. This review aims to summarize the current evidence about QoL assessment in ITx recipients.Recent findingsSeveral studies were conducted to determine QoL in ITx patients, with differences in the samples and instruments used to assess it. Patients evaluated for ITx had lower QoL than those on HPN without complications. QoL seems to improve in most psychological, emotional and social areas after a successful ITx, a trend that seems to increase over time. These results would support the rehabilitative role of ITx for patients with irreversible CIF and impossibility to continue receiving HPN.SummaryAlthough QoL after ITx patients improved over time compared with life on HPN, the heterogeneity in the samples included in several studies, and the lack of validated assessment tools, hinder the possibility to draw conclusions about improvement of QoL after ITx.
KW - home parenteral nutrition
KW - intestinal failure
KW - intestinal transplantation
KW - quality of life
UR - http://www.scopus.com/inward/record.url?scp=85102602434&partnerID=8YFLogxK
U2 - 10.1097/MOT.0000000000000852
DO - 10.1097/MOT.0000000000000852
M3 - Review article
C2 - 33595982
AN - SCOPUS:85102602434
SN - 1087-2418
VL - 26
SP - 200
EP - 206
JO - Current Opinion in Organ Transplantation
JF - Current Opinion in Organ Transplantation
IS - 2
ER -