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

被引：0
作者：
Nobuyuki Morikawa
Tatsuo Kuroda
Yoshihiro Kitano
Hideaki Tanaka
Hajime Takayasu
Akihiro Fujino
Yumiko Shibata
Hiroko Tanemura
Mitsuru Muto
Toshiro Honna
机构：
[1] National Center for Child Health and Development,Division of General Surgery
来源：
Pediatric Surgery International | 2009年 / 25卷
关键词：
Serial transverse enteroplasty (STEP); Short bowel syndrome; Intestinal lengthening; Bowel dilatation; Enteral nutrition;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
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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页码：1007 / 1011
页数：4
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