Transplantation of the liver contemporaneously with another organ from
the same donor is thought to confer an immunologic advantage.(1,2) Th
e latter is particularly desirable in intestinal transplantation becau
se of the propensity of the intestinal graft to early and late rejecti
ons and because in some cases it may facilitate the operation. In clin
ical practice, shortage of liver grafts constrains liver transplantati
on to cases in which there is coexisting end stage liver disease.