With the completion of the first liver–intestinal transplant in Australia in July 2010, the Austin Hospital in Victoria became one of only 35 active centres worldwide to offer this life-saving procedure to patients with irreversible intestinal failure and associated life-threatening complications of parenteral nutrition.
A 32-year-old man was initially referred to our centre in 2005 after the progression of multiple complications of long-term parenteral nutrition (PN) for short gut syndrome. He had concomitant bilateral hydronephrosis and dilated renal pelvises, suggesting a visceral myopathy. A long-strip rectal biopsy confirmed hypoganglionosis.
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