{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:42:38Z","timestamp":1753879358238,"version":"3.41.2"},"reference-count":13,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2021,11,8]],"date-time":"2021-11-08T00:00:00Z","timestamp":1636329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Transplantation"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:label\/><jats:p>Chronic intestinal pseudo\u2010obstruction (CIPO) is characterized by severe\u00a0digestive\u00a0+\/\u2010\u00a0urinary dysmotility.\u00a0If the\u00a0conservative management fails,\u00a0multivisceral\u00a0transplantation (MVT)\u00a0may be needed. However,\u00a0urinary\u00a0dysmotility\u00a0remains after MVT and requires\u00a0to continue\u00a0urinary catheterizations and\/or drainage. We report on a boy with severe CIPO complicated by (1) chronic intestinal obstruction requiring total parenteral nutrition, decompression gastrostomy, and ileostomy; (2) recurrent line infections; (3) hepatic fibrosis; and (4) distension of the\u00a0bladder and upper urinary tract, and recurrent urinary infections, leading to non\u2010continent cystostomy for urinary drainage. He underwent\u00a0MVT\u00a0at the age of 5\u00a0years. The transplant included the liver, stomach, duodenum and pancreas, small bowel, and right colon. The distal native sigmoid colon was preserved.\u00a0Fifteen\u00a0months later, he underwent a pull through of the transplanted right colon (Duhamel's\u00a0procedure), together with a tube continent cystostomy (Monti's\u00a0procedure)\u00a0using the native sigmoid. Postoperative course was uneventful, and the remaining ileostomy was closed 3\u00a0months later. Five\u00a0years post\u2010transplant,\u00a0he is alive and well. He is fed by mouth with complementary gastrostomy feeding at night. He has 3\u20136\u00a0stools per day, with\u00a0occasional soiling.\u00a0The cystostomy is used for\u00a0intermittent urinary catheterization 4 times\/day and continuous\u00a0drainage\u00a0at night. He is dry, with rare afebrile urinary infections, normal renal function, and un\u2010dilated upper urinary tract. Conclusion: in\u00a0severe CIPO with urinary involvement, preservation of the distal native sigmoid colon during\u00a0MVT\u00a0allows secondary creation of a continent\u00a0tube\u00a0cystostomy, which is useful to manage\u00a0persistent\u00a0urinary disease.<\/jats:p><\/jats:sec>","DOI":"10.1111\/petr.14180","type":"journal-article","created":{"date-parts":[[2021,11,8]],"date-time":"2021-11-08T09:30:06Z","timestamp":1636363806000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Preservation of native sigmoid colon for secondary continent cystostomy after multivisceral transplantation for chronic intestinal pseudo\u2010obstruction"],"prefix":"10.1111","volume":"26","author":[{"given":"Julien","family":"Grosman","sequence":"first","affiliation":[{"name":"Service de chirurgie p\u00e9diatrique visc\u00e9rale, h\u00f4pital Necker \u2013 Enfants malades Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"Aigrain","sequence":"additional","affiliation":[{"name":"Service de chirurgie p\u00e9diatrique visc\u00e9rale, h\u00f4pital Necker \u2013 Enfants malades Paris France"},{"name":"Universit\u00e9 de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Goulet","sequence":"additional","affiliation":[{"name":"Universit\u00e9 de Paris Paris France"},{"name":"Service d\u2019h\u00e9pato\u2010gastroent\u00e9rologie et nutrition p\u00e9diatrique, h\u00f4pital Necker \u2013 Enfants malades Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Florence","family":"Lacaille","sequence":"additional","affiliation":[{"name":"Service d\u2019h\u00e9pato\u2010gastroent\u00e9rologie et nutrition p\u00e9diatrique, h\u00f4pital Necker \u2013 Enfants malades Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5791-5402","authenticated-orcid":false,"given":"Carmen","family":"Capito","sequence":"additional","affiliation":[{"name":"Service de chirurgie p\u00e9diatrique visc\u00e9rale, h\u00f4pital Necker \u2013 Enfants malades Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3248-5650","authenticated-orcid":false,"given":"Christophe","family":"Chardot","sequence":"additional","affiliation":[{"name":"Service de chirurgie p\u00e9diatrique visc\u00e9rale, h\u00f4pital Necker \u2013 Enfants malades Paris France"},{"name":"Universit\u00e9 de Paris Paris France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11894-019-0737-y"},{"key":"e_1_2_8_3_1","doi-asserted-by":"crossref","DOI":"10.1111\/nmo.13937","article-title":"An international survey on clinicians\u2019 perspectives on the diagnosis and management of chronic intestinal pseudo\u2010obstruction and enteric dysmotility","volume":"26","author":"Vasant DH","year":"2020","journal-title":"Neurogastroenterol Motil"},{"key":"e_1_2_8_4_1","first-page":"206","article-title":"Intestinal pseudo\u2010obstruction","volume":"3","author":"Dudley HAF","year":"1958","journal-title":"J R Coll Surg 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