Intestinal and Multivisceral Transplantation Workup

Updated: May 24, 2018
  • Author: Richard K Gilroy, MBBS, FRACP; Chief Editor: Ron Shapiro, MD  more...
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Workup

Laboratory Studies

See the list below:

  • Complete blood cell count

  • Prothrombin time and activated partial thromboplastin time

  • Electrolytes, blood urea nitrogen, and creatinine

  • Total and direct bilirubin

  • Aspartate transaminase, alanine aminotransferase, alkaline phosphatase, and gamma glutamyl transferase

  • Serum albumin

  • Phosphorous and magnesium

  • Cholesterol and triglycerides

  • Zinc and selenium

  • Free and total carnitine

  • Vitamins A, D, and E

  • Cytomegalovirus (CMV), Epstein-Barr virus (EBV), hepatitis B virus, hepatitis C virus, and human immunodeficiency virus

  • Alpha-fetoprotein

  • Cytotoxic antibody screen

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Imaging Studies

See the list below:

  • Chest radiography

  • Abdominal ultrasonography

  • Doppler study of upper extremity veins

  • Bone age study

  • Echocardiography

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Other Tests

See the list below:

  • Electrocardiography

  • Motility studies (as indicated)

  • Liver biopsy (as indicated)

  • Upper gastrointestinal endoscopy

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Histologic Findings

TPN cholestasis without significant fibrosis (This is a reversible pathology at this point.)

PN cholestasis. (This is a reversible pathology at PN cholestasis. (This is a reversible pathology at this point as an absence of fibrosis.)
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