IJOTM 2008-6490 5 2 2014 05 04 Multivisceral and Small Bowel Transplantation at Shiraz Organ Transplant Center 59 65 EN S Nikeghbalian SH Mehdi M Aliakbarian Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. aliakbarianm@mums.ac.ir K Kazemi A Shamsaeefar A Bahreini MR Mansoorian SA Malekhosseini 2014 01 22 Background: Multivisceral transplantations were initially done in animal models to understand the immunological effects. Later on, in human beings, it has been considered a salvage procedure for unresectable complex abdominal malignancies. With advancement in surgical techniques, availability of better immunosuppressive drugs, and development of better post-operative management protocols, outcomes have been improved after these complex surgical procedures.Objective: To analyze and report results of multivisceral, modified multivisceral, and small bowel transplantations done at Shiraz Organ Transplant Center, Shiraz, southern Iran.Methods: Medical records of all patients who underwent multivisceral, modified multivisceral, and small bowel transplants were retrospectively analyzed.Results: There were 18 patients. The most common indications for the procedure in our series were unresectable carcinoma of pancreas followed by short bowel syndrome. 10 patients were alive after a median follow-up of 8.7 (range: 3–32) months. The remaining 8 patients died post-operatively, mostly from septicemia.Conclusion: Multivisceral and small bowel transplantations are promising treatments for complex abdominal pathologies.