Gangrenous intestine lost to gangrape, victim gets hope from pvt hospital

As the young girl battles for life bravely five days after the brutal gangrape, a leading private hospital here today offered free intestinal transplantation and subsequent treatment to her.

Sir Ganga Ram Hospital has communicated this offer to Dr B D Nathani, Medical Superintendent of Safdurjung Hospital where the victim is being treated currently, Dr R S Rana, Chairman, Board of Management SGRH, said.

The 23-year-old student has undergone a surgery to remove her gangrenous intestine. The doctors treating her had said that she is "stable, alert and conscious" but she remained on ventilator support.

"Intestinal failure occurs when most of the intestine has to be removed surgically as in this case. Intestinal transplant is the only chance of survival with a normal functioning intestine for the victim," Dr Samiran Nundy Chairman, Department of Surgical Gastroenterology and Organ Transplantation said.

The private hospital has performed India's first and only living donor intestinal transplant which has been reported in peer reviewed journal this year, Rana said.

According to Dr Naimish Mehta Transplant Surgeon SGRH, who was involved in India's first Living Donor Intestinal Transplant Surgery, "there are two ways by which intestinal graft can be obtained, either from a brain dead donor or from a living related donor. Both these options could be available for the victim once her condition stabilises."

According to Dr Mehta, "in a normal individual, the length of small intestine is approximately 600 cms, of which, 200 cms of intestine can be removed for transplantation without any adverse effect on the living donor while whole intestine from the brain dead donor can be used for intestinal transplantation."

Dr Mehta said that intestinal failure occurs when most of the intestine has to be removed surgically because of blockage of its blood supply or major injury to the intestine.

Intestinal failure is normally treated by giving parenteral nutrition.

However intravenous feeding has to be given through a central venous line (an intravenous catheter placed into one of the large veins of the body) and complications develop over a period of time, Dr Mehta said.

"The central venous catheter tends to get infected over a period of time. These infections can be life-threatening. Over a period of time parenteral nutrition damages the liver. Too long a delay at this point will result in liver failure.

Intestinal transplant is recommended before the liver is permanently damaged," he added.

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