Tumors involving the root of the mesentery are often benign but locally invasive and therefore lethal. The most common of these lesions are desmoid tumors in patients with familial adenomatous polyposis. Only complete resection of the tumor and sacrifice of the intestines can provide a cure. The most common of these lesions are desmoid tumors in patients with Gardeners' syndrome. This tumor often involves the mesenteric vessels and requires exenteration of the small bowel for complete resection. Since these tumors may involve other foregut organs such as the pancreas, stomach, duodenum or spleen, a multivis-ceral transplant is required in these patients. Patients with Gardeners' syndrome usually do not have intestinal failure and are therefore not dependent on par-enteral nutrition prior to transplantation.
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