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Case Reports
. 2009 Nov;25(11):1007-11.
doi: 10.1007/s00383-009-2456-1.

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

Nobuyuki Morikawa  1 , Tatsuo Kuroda, Yoshihiro Kitano, Hideaki Tanaka, Hajime Takayasu, Akihiro Fujino, Yumiko Shibata, Hiroko Tanemura, Mitsuru Muto, Toshiro Honna
Affiliations
Case Reports

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

Nobuyuki Morikawa et al. Pediatr Surg Int. 2009 Nov.

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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References

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