Among patients with short bowel syndrome, surgical small intestine lengthening techniques are employed to increase the absorptive surface. Among these, serial transverse enteroplasty involves transecting the bowel transversally, preserving the blood supply of the small intestine and creating a longer segment of bowel. We report a 51-year-old woman with a short bowel syndrome and multiple hospital admissions for complications. She was subjected to a serial transverse enteroplasty, increasing small intestinal length from 140 to 180 cm. During the postoperative period, she presented intra abdominal blood collections and a septic episode with bacterial endocarditis. One month after the operation, total parenteral nutrition was discontinued and nutritional and fluid balances were achieved using exclusively the oral route. During the ambulatory follow up, the patient continues with exclusive oral feeding and five bowel movements per day.
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Serial Transverse Enteroplasty (STEP) for Short Bowel Syndrome (SBS) in Children: A Multicenter Study on Long-term Outcomes.
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Department of Pediatric Surgery, Robert-Debré Children's University Hospital, APHP, Paris, France; Paris-Cité University, Paris, France; NeuroDiderot, INSERM UMR1141, Paris, France. Electronic address:
Article Synopsis
- Short Bowel Syndrome (SBS) is a significant cause of intestinal failure in children, and this study evaluates the long-term outcomes of the surgical technique called serial transverse enteroplasty (STEP) used to treat it.
- The study involved a review of 36 children who underwent STEP between 2000 and 2022, examining their medical histories, surgical details, and nutritional support.
- Results showed an increase in bowel length and a decrease in dependency on parenteral nutrition, with many children experiencing improved digestive symptoms and growth after the procedure, indicating STEP can be a beneficial option for managing SBS in children.
Serial transverse enteroplasty in adults with parenteral nutrition dependence: A case series.
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Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA.
Background: Serial transverse enteroplasty is used to treat patients with chronic intestinal failure owing to short bowel syndrome. Current literature lacks discussion of its role for other etiologies of intestinal failure and its impact on adult patients' nutrition support needs and quality of life.
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View Article and Find Full Text PDFNutritional Outcomes of Bowel Lengthening Procedure in Patients with Short Bowel Syndrome.
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