Menu

Location

Miami Transplant Institute

1801 NW 9th Avenue

Miami, FL 33136

Open in Google Maps

Holtz Children’s Hospital

1611 N.W. 12th Avenue

Miami, FL 33136

Open in Google Maps

Our Adult and Pediatric Intestinal or Multivisceral Transplant Program

National leadership in treating disorders of the abdomen and intestinal tract.

A Recognized Leader

If you have a serious disorder of the intestinal tract affecting your ability to obtain nutrition by eating and drinking, our team is well prepared to evaluate your condition and determine the best course of treatment. That might be a transplant of the small intestine, a multi-organ transplant, or our state-of-the-art intestinal rehabilitation program.

Our multidisciplinary team focuses on saving the lives of children and adults, and restoring the best possible function of the digestive tract.

A Recognized Leader

If you have a serious disorder of the intestinal tract affecting your ability to obtain nutrition by eating and drinking, our team is well prepared to evaluate your condition and determine the best course of treatment. That might be a transplant of the small intestine, a multi-organ transplant, or our state-of-the-art intestinal rehabilitation program.

Our multidisciplinary team focuses on saving the lives of children and adults, and restoring the best possible function of the digestive tract.

High Volumes

The only intestinal program in the southern U.S.—high volumes, great outcomes, and the most difficult patients and procedures

15-20%

of all U.S. intestinal transplant surgeries—leading the nation in these complex procedures

Survival rates

are consistently among the highest in the nation

Treating Disorders of the Abdomen and Intestinal Tract

The Miami Transplant Institute is one of the few transplant centers in the U.S. that perform intestinal and multivisceral transplants on both children and adults.

Pediatric Intestinal and Multivisceral Transplantation Program

We have the only pediatric intestinal and multivisceral transplantation program in the southeastern U.S. and have performed over 250 transplants since the program opened in 1994. We continue to be one of the most active ​pediatric programs in the nation with higher survival rates compared to the national average. We evaluate ​our patients from an early age to make sure their parenteral nutrition is optimized for proper growth and development and perform transplants when necessary.

Addressing Digestive Disorders

A minority of patients with intestinal failure will have irreversible disease that prevents their digestive tracts from absorbing life-sustaining nutrients. Despite efforts at rehabilitation, these patients will require lifelong parenteral nutrition (intravenous (IV) feeding). While we can often help optimize parenteral nutrition, ultimately the goal of rehabilitation is to help patients gain their nutrition from food. Some patients may develop life threatening complications of parenteral nutrition such as liver failure, clots that lead to loss of venous access, and catheter-related infections. In these situations, an intestinal transplant may be indicated.

Simultaneous Transplantation

Our program includes the simultaneous transplantation of multiple abdominal organs if needed depending on original condition, including the stomach, duodenum, pancreas, small intestine, and liver. Today, our team can transplant from two to seven organs at one time, even transplanting the abdominal wall with skin in patients who have lost those tissues due to their underlying disease and prior surgeries.

Adult Intestinal and Multivisceral Transplantation Program

We have more than 25 years of experience, performing hundreds of these challenging procedures with outcomes well above national averages. In many cases, our transplant patients are transplanted without a temporary ostomy bag, significantly improving their quality of life.

Using a Patient’s Own Organs

Along with deceased donor intestinal and multivisceral transplants, we are a leader in autologous transplant procedures. For patients who require the reconstruction of damaged blood vessels or removal of slow-growing cancers, where such procedures cannot be performed in the abdomen, auto-transplantation offers an advanced solution. Our expert surgeons can remove multiple abdominal organs, perform a tumor removal or reconstruction outside the patient’s body, and then return the repaired organs to the patient like a transplant, without the need for immunosuppression.

By offering both transplant and restorative options, our program gives new hope to children and adults with life-threatening digestive conditions.

Intestinal and Multivisceral Transplantation Frequently Asked Questions

What is an Intestinal or Multivisceral Transplant?

An intestinal or multivisceral transplant is a surgery performed to replace diseased organs along the gastrointestinal tract with healthy organs from a donor. The transplantation is typically considered for patients who have multiple organ failure, including the small and large intestines, stomach, liver, and pancreas.

What Medical Conditions Can Result in Needing an Intestinal or Multivisceral Transplant?

A number of different conditions can make an intestinal or multivisceral transplant necessary. The following are some of the most common:

  • Intestinal atresia
  • Gastroschisis
  • Necrotizing enterocolitis (NEC)
  • Mid-gut volvulus
  • Aganglionosis/Hirschsprung’s disease
  • Neuroendocrine and Desmoid tumors
  • Mesenteric venous thrombosis
  • Short/small bowel syndrome
  • Trauma
  • Inflammatory bowel disease (IBD)/Crohn’s disease
  • Pseudo-obstruction
  • Complications of gastric bypass

What Causes Intestinal Failure?

Short bowel syndrome is the most common cause of intestinal failure. Complications from other gastrointestinal conditions can also cause intestinal failure.