Favorable nutritional outcome after isolated liver transplantation for liver failure in a child with short bowel syndrome

A patient with short gut syndrome presented with end-stage liver disease. S he underwent an isolated liver transplantation at the age of 3.5 years. Par enteral nutrition was discontinued 1.5 years after surgery. At 7 years of a ge, the patient has maintained normal nutritional indices and growth while on a normal oral diet. This observation suggests that liver transplantation alone can be a valuable alternative to the combined small bowel/liver tran splantation in short bowel syndrome when intestinal adaptation is expected and if the ileocecal valve is present and that improvement of gut function can occur after successful liver transplantation.