Intestinal and multivisceral transplantation was performed for the first time in dogs in 1959 by lillehei et al it was a study model in which the objective was to observe what would happen with lymph drainage of all abdominal organs after their total denervation. Until recently parenteral nutrition was the standard of care for all patients with intestinal failure the success of kidney liver and heart transplantation has increased with the advent and application of new antirejection medications coupled with improved surgical techniques. Medical necessity criteria for the review of intestinal and multivisceral transplant requests policy criteria it is the policy of health plans affiliated with centene corporation r that any of the intestinal and or. The ongoing development of intestinal and multivisceral transplantation remains a dynamic process moved forward by advances in multidisciplinary care of intestinal failure surgical technique innovative immunosuppressive strategies and an improved understanding of intestinal transplantation immunology
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