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- Title
Repeat STEP procedure to establish enteral nutrition in an infant with short bowel syndrome.
- Authors
Morikawa, Nobuyuki; Kuroda, Tatsuo; Kitano, Yoshihiro; Tanaka, Hideaki; Takayasu, Hajime; Fujino, Akihiro; Shibata, Yumiko; Tanemura, Hiroko; Muto, Mitsuru; Honna, Toshiro
- 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.
- Subjects
LIVER failure; INTESTINAL diseases; MALNUTRITION; LIVER diseases; MALABSORPTION syndromes
- Publication
Pediatric Surgery International, 2009, Vol 25, Issue 11, p1007
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-009-2456-1