key: cord-0975432-mh9v4kd1
authors: Pathanki, Adithya; Hann, Angus; Perera, Thamara; Sharif, Khalid; Hartog, Hermien; Hartley, Jane; Hogg, Lindsay; Bennett, James; Bromley, Peter; Bugg, Neil; Stansfield, Janet; Gupte, Girish L.; Mirza, Darius F.
title: Single‐centre experience of paediatric intestinal and multivisceral transplantation during the COVID‐19 pandemic—Lessons for the future
date: 2021-07-24
journal: Pediatr Transplant
DOI: 10.1111/petr.14083
sha: e1e064ad936257f07a7e13d46bb9b9b0f29d281e
doc_id: 975432
cord_uid: mh9v4kd1

nan

. We adapted our service delivery and aim to highlight key messages which will influence our future practice, in this letter. Data sharing is not applicable to this article as no new data were created or analysed in this study. • Diagnosis and monitoring of (GVHD) via photographs sent on email.

• Hospital attendance for outpatient visit was only advised when there was a perceived need for intervention, that is stomal biopsy, review of rash.

None were affected by the altered follow-up regimen in the postoperative period. All children are alive at median 7-month follow-up. They were weaned off parenteral nutrition at discharge and have been established on enteral feeds/oral diet. One child has been established on an oral diet. Two children had GVHD, and one child had a single episode of mild rejection. The challenge was to engage parents and local medical teams in this new monitoring protocol, but was made possible by the use of a virtual platform and support from an extended multidisciplinary team.

The threat from newer COVID-19 variants and a further wave remains; however, the changes made in the delivery of intestine transplantation will last beyond the pandemic. 

COVID-19: advice for clinicians -ODT clinical -NHS blood and transplant

Hirschsprung's disease Multi-focal Hepatoblastoma Note: MVTx, multivisceral transplant (graft including stomach, SB, pancreas and liver).