Repeat STEP procedure to establish enteral nutrition in an infant with short bowel syndrome

Nobuyuki Morikawa, Tatsuo Kuroda, Yoshihiro Kitano, Hideaki Tanaka, Hajime Takayasu, Akihiro Fujino, Yumiko Shibata, Hiroko Tanemura, Mitsuru Muto, Toshiro Honna

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

The serial transverse enteroplasty (STEP) procedure is a safe and successful way to lengthen the small bowel in patients with short bowel syndrome. However, postoperative dilatation of the intestine may occur, which induces bacterial overgrowth and malabsorption leading to liver failure. We describe the case of an infant boy with short bowel syndrome caused by jejunal atresia requiring the STEP procedure twice. The first STEP improved the liver function, and the second STEP allowed 80% of the total calorie intake to be tolerated enterally. One should not hesitate to perform a second STEP if after the initial bowel lengthening procedure the patient develops small bowel dilatation that interferes with enteral nutrition.

Original languageEnglish
Pages (from-to)1007-1011
Number of pages5
JournalPediatric Surgery International
Volume25
Issue number11
DOIs
Publication statusPublished - 2009 Nov
Externally publishedYes

Fingerprint

Short Bowel Syndrome
Enteral Nutrition
Dilatation
Intestinal Atresia
Liver Failure
Intestines
Liver

Keywords

  • Bowel dilatation
  • Enteral nutrition
  • Intestinal lengthening
  • Serial transverse enteroplasty (STEP)
  • Short bowel syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery

Cite this

Repeat STEP procedure to establish enteral nutrition in an infant with short bowel syndrome. / Morikawa, Nobuyuki; Kuroda, Tatsuo; Kitano, Yoshihiro; Tanaka, Hideaki; Takayasu, Hajime; Fujino, Akihiro; Shibata, Yumiko; Tanemura, Hiroko; Muto, Mitsuru; Honna, Toshiro.

In: Pediatric Surgery International, Vol. 25, No. 11, 11.2009, p. 1007-1011.

Research output: Contribution to journalArticle

Morikawa, N, Kuroda, T, Kitano, Y, Tanaka, H, Takayasu, H, Fujino, A, Shibata, Y, Tanemura, H, Muto, M & Honna, T 2009, 'Repeat STEP procedure to establish enteral nutrition in an infant with short bowel syndrome', Pediatric Surgery International, vol. 25, no. 11, pp. 1007-1011. https://doi.org/10.1007/s00383-009-2456-1
Morikawa, Nobuyuki ; Kuroda, Tatsuo ; Kitano, Yoshihiro ; Tanaka, Hideaki ; Takayasu, Hajime ; Fujino, Akihiro ; Shibata, Yumiko ; Tanemura, Hiroko ; Muto, Mitsuru ; Honna, Toshiro. / Repeat STEP procedure to establish enteral nutrition in an infant with short bowel syndrome. In: Pediatric Surgery International. 2009 ; Vol. 25, No. 11. pp. 1007-1011.
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