146: UK National Adult Small Intestine Transplant (NASIT) Forum: Exemplar of collaborative, multidisciplinary care for intestinal rehabilitation patients being considered for intestinal transplant

Introduction: The collaborative working amongst the two adult intestinal transplant centres and the two national intestinal rehabilitation reference centres, along with other designated intestinal rehabilitation centres, is an extremely effective method of reviewing and determining appropriateness for patients to be taken forward for transplant or to be considered for further optimum medical or surgical therapy prior to listing for intestinal transplant. We have sought to review the data for all referrals since the inception of the National Adult Small Intestine Transplant (NASIT) forum. It is an exemplar of how collaborative working could be internationally. Methods: This was a retrospective audit of all referrals to and outcomes from minutes from meetings of NASIT between 2005-2022. 5 meetings minutes were not available. Results: Since 2005 622 patients have been discussed, 184 liver containing grafts (79 women, 69 men, 36 not recorded) and 417 liver-free grafts (164 women, 176 men, 76 not recorded) and 22 were unclear. In addition, we have also discussed 2 patients from Spain and 2 from Australia to support decision making for their transplant candidates. Outcome: A total of ~175 transplants have since occurred. Conclusion: This demonstrates the importance of collaborative working to ensure the right patients are chosen to have the right graft at the right time. In addition, discussion gives the opportunity for non-transplant options to be considered. - Year Liver containing Liver free Not applicable Total 2005 2 5 7 2006 7 11 18 2007 16 18 34 2008 3 23 26 2009 4 29 33 2010 1 21 22 2011 17 29 46 2012 13 20 33 2013 10 14 24 2014 7 13 20 2015 11 16 4 31 2016 12 30 9 51 2017 14 32 2 48 2018 15 22 1 38 2019 7 25 1 33 2020 19 17 36 2021 18 63 3 84 2022 8 29 1 38 Grand Total 184 417 21 622