【摘要】 目的 探讨临床活体小肠移植手术后减少内镜检测的频度。方法 我们对1例带有残余肠道吻合口瘘的57岁短肠综合征的男性病人，进行了活体小肠移植，移植手术后在严密监测移植小肠的功能的情况下，仅在怀疑急性排斥发生时进行内镜检查。结果 病人目前已经生存94天，移植物功能良好。结论 小肠移植术后应始终重视排斥反应的监测与防治，非常有必要进行内镜检查，但是内镜检查也不必过于频繁。

    【关键词】 小肠移植；内镜检查；活检

    Lower the frequency of endoscopy post a living-related small bowel transplantation

    SUN Xiao-feng，HOU Ming-xing, ZHAO Hai-ping,et al. Department of Gastrointestinal Surgery, Innermonglia Medical Collge ,Huhhot， Innermongolia 010050,China

    【Abstract】 Objective To summarize the experience of postoperative endoscopy management in the living related small bowel transplantation.Methods An 57 years old short gut syndrome patient with ileus-colon anastomosis fistula underwent the living related small bowel transplantation , the segment of 150 cm distal small bowel graft taken from his second son (32 years old)，the posttransplantation immunosuppression was initially with Tacrolimus, mycophenolate mofeil(MM F ) , and prednisone. postoperation acute rejection happened after gut bleeding and diarrhea but were well treated by increase the dosage of immunosuppression and nutrition support. Endoscopy was only used when acute rejection was suspicioused. Results Up to the time this report was submitted the recipient has enjoyed good life quality for 64 days , the graft small bowel works well.Conclusion The living related small bowel transplantation cures the short gut syndrome in this case. Also endoscopic observation and pathologic examination are the most reliable method to monitor the graft after the small intestinal transplantation. The frequency of endoscopy can be much lowered. ......