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Center for Outpatient Blood and Marrow Transplantation

Dr. Fesler with a patientThe only center in St. Louis where blood and marrow transplant recipients can be treated during the day and return home at night

Bone marrow, the spongy material found inside bones, is where most of the body's blood cells are developed and stored. A transplant may be needed when bone marrow stem cells, which produce other blood cells, are damaged by disease or by high doses of chemo or radiation needed to cure some cancers. The goal of a transplant is to transfuse healthy blood stem cells into the patient and restore healthy cell production and function.

In 2012, doctors with SLUCare Hematology, Oncology and Cellular Therapy opened St. Louis’ only Center for Outpatient Blood and Marrow Transplantation – a joint effort between SLUCare Physician Group and SSM Health Saint Louis University Hospital. This is the only center in the region where blood and marrow transplant recipients can be treated during the day and return home at night, provided they remain within a 30-minute drive of the center.

According to the National Marrow Donor Program, one-year patient survival rates in the program are higher than rates for most other treatment programs in the region. 

Dr. Mark Fesler, director of the Bone Marrow Transplant Program, says studies show most blood and marrow transplant patients today can be safely and effectively treated on an outpatient basis – without an overnight hospital stay.

Patients report much higher levels of comfort, satisfaction and control, which benefits the healing process. It takes a multidisciplinary team of experts to safely perform this treatment, and that's what we offer,” Dr. Fesler says. 

The center delivers all the resources of an academic medical practice, including streamlined care from a team of doctors in various specialties, such as:

Conditions We Treat

In the Center for Outpatient Blood and Marrow Transplantation, we see patients with all types of blood cancers:

Services We Offer

Our team accepts referrals from oncologists and primary care physicians for specialized treatment of blood cancers and consultations for bone marrow transplantation. We offer a multidisciplinary cutaneous lymphoma clinic, specializing in a rare subset of these cancers.

Our services include disease-specific testing (e.g., PET and CT scans, bone marrow aspiration and biopsy); organ function testing; financial, insurance and social work support; physical therapy; and specialized pharmacy care.

Ours is one of the only centers in the region to provide the full spectrum of hematopoietic stem cell transplantation, including autologous and every subtype of allogeneic transplant, including matched sibling, unrelated donor, haploidentical donor, and cord blood. (Learn how to become a donor at

In our treatment center, patients and families will find a warm, welcoming environment, with a caring staff and facilities designed for comfort during treatment. Over the years, our team has been consistently recognized for high rates of patient satisfaction.

Physicians: Download Patient Referral Form

Promoting Future Therapies through Advanced Treatments, Clinical Trials

The Center for Outpatient for Blood and Marrow Transplantation provides a unique service to patients in the St. Louis region – patients who would otherwise be confined to a hospital room throughout their course of treatment. Yet we continue to explore new ways of improving treatment for patients with blood cancers. Our doctors actively engage in research for new therapies and participate in clinical trials to bring our patients the very latest advances in care.

See Our Current Clinical Trials

Our SLUCare Providers

Mark Fesler, MD
Sagun Goyal, MD
Abhishek Chilkulwar, MD
Nabeel Rajeh, MD

Our Location

SSM Health Saint Louis University Hospital - West Pavilion
3655 Vista Ave.
St. Louis, MO 63110-2539
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