The challenge of acute rejection in intestinal transplantation E. Y. YoshitoshiA. YoshizawaE. OgawaM. KaneshiroN. Takada • S. OkamotoY. FujimotoS. SakamotoS. MasudaM. Matsuura • Y. NakaseT. ChibaT. TsuruyamaH. HagaS. Uemoto

Early diagnosis and treatment of acute cellular rejection (ACR) after intestinal transplantation (ITx) is challenging. We report the outcome of three patients: two presented mild ACR improved with steroids. One pre- sented steroid-resistant severe rejection, improved after rabbit anti-thymocyte globulin (r-ATG), but unfortunately died for encephalitis caused by opportunistic infections.