Bowel Transplantations, not enough!

Interestingly, just read in AJT that bowel transplantations are not happening as much as they should.
The AJT report summarizes some of the reasons why.
1. Experience of Physicians and surgeons taking care of these patients
2. Knowledge gap and some physicians even not knowing this option exists.
3. TPN might be a better options in some viewpoints
4. There are not enough recipients
5. Some physicians consider this an experimental procedure.

As a Nephrologists, I think that its fascinating that the field of transplantation and immunology has come this far and hopefully in future, bowel transplantation might become a more standard of care option for patients with intestinal failure.