Serial transverse enteroplasty (STEP): A novel bowel lengthening procedure

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Serial transverse enteroplasty (STEP): a novel bowel lengthening procedure.

BACKGROUND/PURPOSE Bowel lengthening may be beneficial for children with short bowel syndrome. However, current techniques require at least one intestinal anastomosis and place the mesenteric blood supply at risk. This study seeks to establish the technical principles of a new, simple, and potentially safer bowel lengthening procedure. METHODS Young pigs (n = 6) underwent interposition of a r...

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Serial transverse enteroplasty for short bowel syndrome: a case report.

The patient is a 2-year-old boy born with gastroschisis and midgut volvulus that left him dependent on total parenteral nutrition (TPN). At 11 months of age, a Bianchi procedure was performed increasing the total length of bowel from 72 cm to 130 cm. Although he appeared to have sufficient bowel length, he continued to have malabsorption and could only tolerate 10% of his caloric requirement en...

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First STEPs: serial transverse enteroplasty as a primary procedure in neonates with congenital short bowel.

BACKGROUND Since its introduction as an alternative intestinal lengthening technique, serial transverse enteroplasty (STEP) has been increasingly used as the surgical treatment of choice for patients with refractory short bowel syndrome (SBS). While primary STEP for the treatment of congenital conditions was proposed in the original description of the procedure, emphasis was placed on a delayed...

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Serial transverse enteroplasty for short bowel syndrome: Hong Kong experience.

OBJECTIVE To report our experience with the first series of serial transverse enteroplasty operations (a novel bowel-lengthening procedure for patients with short bowel syndrome). DESIGN. Case series. SETTING A tertiary paediatric surgery referral centre in Hong Kong. PATIENTS Four patients with short bowel syndrome aged 11 months to 14 years underwent serial transverse enteroplasty between...

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Second Serial Transverse Enteroplasty Procedure in an Infant with Extreme Short Bowel Syndrome

The serial transverse enteroplasty (STEP) procedure is a novel technique to lengthen and taper the bowel in patients with short bowel syndrome. The advantages of STEP include not only technical ease and simplicity, but also the ability to repeat the procedure. Herein, we report a case of extreme short bowel syndrome that was successfully treated by the second STEP procedure. A 3-day old newborn...

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ژورنال

عنوان ژورنال: Journal of Pediatric Surgery

سال: 2003

ISSN: 0022-3468

DOI: 10.1053/jpsu.2003.50073