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Post-serial transverse enteroplasty bowel redilatation treated by longitudinal intestinal lengthening and tailoring

Fabio Fusaro1, Dominique Hermans, Catherine Wanty

  • 1Pediatric Intestinal Rehabilitation Unit, Department of Abdominal Surgery and Transplantation, St Luc University Hospital, Catholic University of Louvain (UCLouvain), 1200 Brussels, Belgium. fabiofusaro@libero.it

Journal of Pediatric Surgery
|October 23, 2012
PubMed

Insights

Serial transverse enteroplasty (STEP) can lengthen the small bowel, but some patients experience redilatation. A novel longitudinal intestinal lengthening and tailoring procedure successfully treated this complication in an infant after STEP.

Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Intestinal adaptation

Background:

  • Short bowel syndrome (SBS) poses significant challenges in pediatric patients.
  • Serial transverse enteroplasty (STEP) is a common surgical technique to increase functional small bowel length.
  • Post-STEP intestinal redilatation can lead to loss of adaptation and treatment failure.

Observation:

  • A 2-month-old infant with SBS developed significant dilatation of the surgically lengthened small bowel segment following a STEP procedure.
  • This redilatation resulted in compromised bowel function and adaptation.

Findings:

  • The infant was successfully treated with a longitudinal intestinal lengthening and tailoring (LILT) procedure.
  • This represents the first reported instance of LILT being used to correct post-STEP redilatation.

Implications:

  • The LILT procedure offers a potential solution for managing refractory intestinal redilatation after STEP in pediatric SBS.
  • This case highlights the adaptability of surgical techniques to address complex complications in intestinal surgery.
  • Further research may explore the long-term efficacy and indications for LILT following STEP.

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