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Neonatal Serial Transverse Enteroplasty (STEP): Case Report.

P A Lobos1, S E M Calello2, V B Busoni3

  • 1Pediatric Surgery Division, Caba, Argentina; Center for Intestinal Transplantation and Rehabilitation, Caba, Argentina; Department of Pediatrics, Caba, Argentina; Department of Surgery, Caba, Argentina; Hospital Italiano de Buenos Aires, Caba, Buenos Aires, Argentina.

Transplantation Proceedings
|April 26, 2016
PubMed
Summary
This summary is machine-generated.

Serial transverse enteroplasty effectively treats complex gastroschisis with intestinal atresia. This surgical technique preserves bowel mucosa and improves motility, offering an alternative to bowel resection for infants with short bowel syndrome.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Neonatal Care

Background:

  • Gastroschisis, a common congenital abdominal wall defect, can lead to short bowel syndrome when complicated by intestinal atresia.
  • Complex gastroschisis is a primary cause of short bowel syndrome in neonates.

Observation:

  • A case report details the surgical management of a newborn with type IVa intestinal atresia and colonic stenosis following primary gastroschisis repair.
  • The procedure involved tailoring dilated jejunum using serial transverse enteroplasty and performing an end-to-end jejunal-ileal anastomosis.

Findings:

  • The serial transverse enteroplasty procedure successfully tailored the jejunal loop, preserving absorptive mucosa and improving bowel motility.
  • Postoperative management included vacuum-assisted therapy for an enterocutaneous fistula, with successful transition to full enteral feedings within 30 days.

Implications:

  • This approach offers an aggressive surgical strategy to preserve bowel mucosal surface area in infants with intestinal atresia and dilated bowel.
  • Serial transverse enteroplasty is a viable alternative to bowel resection techniques for managing short bowel syndrome in neonates.