Introduction: Nutritional care is an integral part in the management of patients pre-, peri- and post- intestinal transplant (ITx). However, the published literature is limited on the topic, and there are no clinical trials. The available published literature is based on individual expert opinions and does not include nutrition protocols in ITx. This work aims to combine the available suggestions for nutritional care for adults pre-, peri-, and post-ITx into a step wise, easy-to-follow algorithm of care.

Methods: The current available literature (Pubmed) was reviewed based on following keywords; bowel transplant; intestinal transplant; adult; human; nutrition; and / or their combinations. Since both authors are experienced registered dietitians who have been working with ITx recipients over a decade, expert clinical opinion was also considered.

Results: We created multicenter collaboration of nutrition care for patients undergoing ITx. Based on our literature review and expert opinion, a detailed, easy-to-use nutrition algorithm was developed (Figure 1). This algorithm will act as a prompt for nutritional considerations in the management of adult ITx recipients per-, peri- and post operatively and hopes to generate discussion and information amnesty, harness feedback from the expert community and, in time, develop further iterations as more information is generated and shared.

Conclusion: The current algorithm is a suggested best fit for the aim stated, bearing in mind the lack of published data available. Further development is needed to have an easy-to-use nutritional care algorithm for future clinical practice.