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

被引：14

作者：

Morikawa, Nobuyuki ^{[1
]}

Kuroda, Tatsuo ^{[1
]}

Kitano, Yoshihiro ^{[1
]}

Tanaka, Hideaki ^{[1
]}

Takayasu, Hajime ^{[1
]}

Fujino, Akihiro ^{[1
]}

Shibata, Yumiko ^{[1
]}

Tanemura, Hiroko ^{[1
]}

Muto, Mitsuru ^{[1
]}

Honna, Toshiro ^{[1
]}

机构：

[1] Natl Ctr Child Hlth & Dev, Div Gen Surg, Setagaya Ku, Tokyo 1578535, Japan

来源：

PEDIATRIC SURGERY INTERNATIONAL | 2009年 / 25卷 / 11期

关键词：

Serial transverse enteroplasty (STEP); Short bowel syndrome; Intestinal lengthening; Bowel dilatation; Enteral nutrition; SERIAL TRANSVERSE ENTEROPLASTY; MITOCHONDRIAL DYSFUNCTION; LENGTHENING PROCEDURE; RAT-LIVER; CHILDREN; OUTCOMES; MODEL;

D O I：

10.1007/s00383-009-2456-1

中图分类号：

R72 [儿科学];

学科分类号：

100202 [儿科学];

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.

引用

页码：1007 / 1011

页数：5

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