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

doi:10.1007/s00383-009-2456-1

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

Department of Surgery

Research output: Contribution to journal › Article › peer-review

15 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 language	English
Pages (from-to)	1007-1011
Number of pages	5
Journal	Pediatric surgery international
Volume	25
Issue number	11
DOIs	https://doi.org/10.1007/s00383-009-2456-1
Publication status	Published - 2009 Nov 1

Keywords

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

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Surgery

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10.1007/s00383-009-2456-1

Cite this

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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.",

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AU - Morikawa, Nobuyuki

AU - Kuroda, Tatsuo

AU - Kitano, Yoshihiro

AU - Tanaka, Hideaki

AU - Takayasu, Hajime

AU - Fujino, Akihiro

AU - Shibata, Yumiko

AU - Tanemura, Hiroko

AU - Muto, Mitsuru

AU - Honna, Toshiro

PY - 2009/11/1

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AB - 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.

KW - Bowel dilatation

KW - Enteral nutrition

KW - Intestinal lengthening

KW - Serial transverse enteroplasty (STEP)

KW - Short bowel syndrome

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

Abstract

Keywords

ASJC Scopus subject areas

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