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Small Bowel Transplant

A small bowel transplant, also known as an intestinal transplant, is a surgical procedure in which a

damaged or non-functional small intestine is replaced with a healthy donor small intestine. This

procedure is typically reserved for individuals who have severe intestinal failure or dysfunction that

cannot be managed effectively through other medical treatments.

The small intestine is responsible for absorbing nutrients and fluids from the food we eat, so when it

becomes damaged or fails to function properly, it can lead to malnutrition, dehydration, and other

serious health complications. Common reasons for needing a small bowel transplant include:

The small bowel transplant procedure involves removing the damaged intestine and replacing it with a

healthy small intestine from a deceased donor. The surgical team carefully connects the blood vessels

and intestine of the donor organ to those of the recipient. After the surgery, patients require intensive

medical management to prevent organ rejection and manage potential complications.

Short Bowel Syndrome: This occurs when a significant portion of the small intestine is missing or non

functional due to surgical resection, congenital anomalies, or diseases like Crohn's disease.

Intestinal Failure: Individuals with intestinal failure are unable to absorb enough nutrients and fluids

from their diet to sustain themselves, often requiring intravenous nutrition (parenteral nutrition) for

prolonged periods.

Small bowel transplants are complex procedures with significant risks, and the decision to undergo one

is typically made on a case-by-case basis after a thorough evaluation by a transplant team. The success

rates for small bowel transplants have improved over the years, but it's important to understand that

the procedure is not without challenges.

Dr. Karthik Mathivanan is a medical stalwart with more than 15 years of experience as a multi-organ

transplant surgery specialist specializing in liver, small bowel, kidney, and pancreatic transplantation and

rehabilitation.

Although it is possible for a living donor to donate an intestine segment, most intestine transplants

involve a whole organ from a deceased donor. Intestinal transplants is a very challenging procedure. It is

the least frequently performed vascularized intra abdominal organ transplants.

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Liver cirrhosis is a chronic and progressive condition characterized by the scarring and damage to the

liver tissue. It is typically the result of long-term liver diseases, such as hepatitis B or C, alcoholic liver

disease, non-alcoholic fatty liver disease (NAFLD), or autoimmune hepatitis.

When the liver is injured, it tries to repair itself by forming scar tissue. Over time, this scarring can lead

to the development of cirrhosis. The scar tissue disrupts the normal structure of the liver and impairs its

ability to function properly. As cirrhosis progresses, it can lead to serious complications, including liver

failure, portal hypertension (high blood pressure in the liver), liver cancer, and even death.

The symptoms of liver cirrhosis may vary depending on the stage and severity of the condition. In the

early stages, there may be no noticeable symptoms. However, as the disease progresses, common

symptoms may include fatigue, weakness, loss of appetite, weight loss, jaundice (yellowing of the skin

and eyes), abdominal pain or discomfort, fluid retention (edema) in the legs and abdomen, easy bruising

and bleeding, and mental confusion or changes in cognition.

Diagnosis of liver cirrhosis involves a combination of medical history, physical examination, blood tests,

imaging studies (such as ultrasound, CT scan, or MRI), and sometimes a liver biopsy to confirm the

presence of scar tissue.

Although there is no cure for liver cirrhosis, treatment aims to slow down its progression, manage

complications, and improve the quality of life for affected individuals.

[shreejaraj]

Dr. Karthik Mathivanan is a medical stalwart with more than 15 years of experience as a multi-organ

transplant surgery specialist specializing in liver, small bowel, kidney, and pancreatic transplantation and

rehabilitation. He is one of the best liver doctor in Chennai. At MGM Healthcare, he is currently the

Associate Director of Liver and Multi-organ Transplantation, as well as HPB surgery. He is a founding

member of India’s illustrious Liver Transplant Society. He knows firsthand the myths, misinformation,

and anxieties that people have concerning liver diseases as a liver specialist and surgeon. In his long and

accomplished career, he has been part of many firsts in surgical excellence in Tamil Nadu and Chennai.

Dr. Karthik oversaw the first live donor liver swap translated under the state insurance health scheme

for the poor. It required the collaboration of four operating rooms, as well as various transplant

coordinators, surgeons, anaesthetists, and nurses. Dr Karthik’s legacy is only amplified by his passion for

social justice and activism. He has been part of many philanthropic campaigns and awareness programs

throughout his career.

Notably, he has taken initiative in crafting many crowdfunded surgical procedures for transplant

patients and emergency patients with liver failure. He is the specialist transplant surgeon to initiate free

liver clinics across Tamil Nadu spreading awareness even to very rural and remote areas with minimal

access to quality healthcare. Dr Karthik Mathivanan, a proficient Liver Transplant Surgeon has been

pivotal in spreading awareness about liver diseases and has performed over 2000 complex and high risk

liver surgeries. In an effort to honour his significant contribution in the field of Liver Health and

Transplant programs leading the way to serve humanity, he was conferred the Outstanding Community

Awareness and Selfless Service Award in the field of Liver Health & Transplant during April 2022 by Dr.

Sangeetha Health & Educational Group.

He received this award from Dr.K Jayanth Murali (IPS), DGP, Government of Tamil Nadu. This shows the

depth of his passion and dedication towards his incredible and inspiring journey of healing and caring.

[shreejaraj]

Dr. Karthik Mathivanan

Dr. Karthik Mathivanan is a medical stalwart with more than 15 years of experience as a multi-organ transplant surgery specialist specializing in liver, small bowel, kidney, and pancreatic transplantation and rehabilitation. He is one of the best liver doctor in Chennai. At MGM Healthcare, he is currently the Associate Director of Liver and Multi-organ Transplantation, as well as HPB surgery. He is a founding member of India’s illustrious Liver Transplant Society. He knows firsthand the myths, misinformation, and anxieties that people have concerning liver diseases as a liver specialist and surgeon. In his long and accomplished career, he has been part of many firsts in surgical excellence in Tamil Nadu and Chennai. Dr. Karthik oversaw the first live donor liver swap translated under the state insurance health scheme for the poor. It required the collaboration of four operating rooms, as well as various transplant coordinators, surgeons, anaesthetists, and nurses. Dr Karthik’s legacy is only amplified by his passion for social justice and activism. He has been part of many philanthropic campaigns and awareness programs throughout his career.

Notably, he has taken initiative in crafting many crowdfunded surgical procedures for transplant patients and emergency patients with liver failure. He is the specialist transplant surgeon to initiate free liver clinics across Tamil Nadu spreading awareness even to very rural and remote areas with minimal access to quality healthcare. Dr Karthik Mathivanan, a proficient Liver Transplant Surgeon has been pivotal in spreading awareness about liver diseases and has performed over 2000 complex and high risk liver surgeries. In an effort to honour his significant contribution in the field of Liver Health and Transplant programs leading the way to serve humanity, he was conferred the Outstanding Community Awareness and Selfless Service Award in the field of Liver Health & Transplant during April 2022 by Dr. Sangeetha Health & Educational Group.

He received this award from Dr.K Jayanth Murali (IPS), DGP, Government of Tamil Nadu. This shows the depth of his passion and dedication towards his incredible and inspiring journey of healing and caring.