Intestine and Multivisceral Transplant Program Overview

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Contact the Intestine and Multivisceral Transplant Program

Boston Children’s Hospital Intestine and Multivisceral Transplant Program evaluates and cares for infants, children and adolescents who require isolated intestine transplantation, combined liver-intestine transplantation and multivisceral transplantation. Since the program’s inception in 2004, the team has performed 20 transplants.

Key program highlights:

  • Closely integrated with Boston Children’s Center for Advanced Intestinal Rehabilitation, which provides innovative medical, nutritional and surgical options for children with intestinal failure.
  • Developed serial transverse enteroplasty (STEP) for short bowel syndrome (SBS) in 2002. The STEP procedure lengthens the bowel of children with SBS through transverse stapling, and allows some to wean completely from parenteral nutrition and avoid the need for intestinal transplantation.
  • Performed a multivisceral transplant on a seven-pound baby, making her the world’s smallest patient to have this procedure
  • More than 150 patients at Boston Children’s have received Omegaven, a fat intravenous mixture derived from fish oil, to prevent and treat liver injury resulting from long-term parenteral nutrition. A formal clinical trial is now underway.

Our expertise


Our multidisciplinary program is staffed by a team of specialists that includes:

  • Kat Garrigantransplant surgeons
  • transplant coordinators
  • gastroenterologists
  • hepatologists
  • pathologists
  • pharmacists
  • social workers
  • psychiatrists
  • Child Life specialists
  • dietitians
  • an experienced pediatric nursing staff with expertise in day-to-day transplant patient care

We bring a collaborative approach to the treatment of infants, children and adolescents with a variety of diagnoses, including:


Pre-op and post-op evaluation locations at Boston Children's Hospital, 100 Longwood Avenue, Boston



Farley building, Floor 2
Tuesdays and Thursdays, 8 a.m. to 3 p.m.


Farley building, Floor 4
Wednesdays, 9:30 a.m. to noon


Fegan building, Floor 3
Mondays, 9 a.m. to noon


Fegan building, Floor 5
Tuesdays, 9:30 a.m. to 1 p.m. and Fridays, 9 a.m. to noon

Intestine and Multivisceral

Fegan building, Floor 3
Mondays, 9 a.m. to noon

Cardiac catheterization

Boston Children’s cardiac catheterization lab on 6 East of the main building at Boston Children's allows specialists to see inside the heart in way that would have been impossible just a few decades ago. Today, many repairs that once required surgery can be accomplished by catheterization.

Learn more about cardiac catheterization at Boston Children's


Boston Children's Dialysis Unit on Farley 4 is home to an experienced and caring multidisciplinary staff that includes doctors and nurses, as well as a dietitian, social worker and Child Life specialist—all with specialty training in the care of children and young adults with kidney disease.

Post-operative intensive care

Heart and lung

Following heart and lung transplants, children recover under close monitoring in the Cardiac Intensive Care Unit (CICU) on 8 South of the Main building.

  • Our CICU is a 24-bed facility.
  • Between 1,200 and 1,300 patients are admitted to the unit each year.

Patient safety and quality assurance are priorities in our CICU, with regular reviews of all practices and procedures. The attending physicians on staff work full time in the CICU and have training in specialty areas, including pediatric critical care, cardiology and cardiac anesthesia.

Their knowledge, together with sophisticated monitoring and support equipment, enables them to recognize problems quickly and respond effectively.

Liver, Kidney, Intestine and Multivisceral

After a child has a kidney, liver, intestine or multivisceral transplant, he or she is admitted to the Medical/Surgical Intensive Care Unit on 7 South of the Main building. (Some kidney recipients are admitted to the Post-Anesthesia Recovery Unit, rather than intensive care.)

Specially trained pediatric intensivists, nurses and a host of support staff care for more than 2,000 critically ill children annually in the MSICU, from newborn to college-age, across the entire spectrum of childhood disease.

  • The unit serves as one of the largest extracorporeal membrane oxygenation (ECMO) centers in the United States
  • The MSICU houses the first hospital-based simulator suite in a Boston teaching hospital, enhancing training of critical care physicians and nurses in crisis resource management.


The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944