Intestinal and Multivisceral Transplantation Workup

Updated: Apr 06, 2015
  • 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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