| Repeat STEP procedure to establish enteral nutrition in an infant with short bowel syndrome. | |
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MedLine Citation:
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PMID: 19697048 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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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Authors:
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Nobuyuki Morikawa; Tatsuo Kuroda; Yoshihiro Kitano; Hideaki Tanaka; Hajime Takayasu; Akihiro Fujino; Yumiko Shibata; Hiroko Tanemura; Mitsuru Muto; Toshiro Honna |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatric surgery international Volume: 25 ISSN: 1437-9813 ISO Abbreviation: Pediatr. Surg. Int. Publication Date: 2009 Nov |
Date Detail:
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Created Date: 2009-10-16 Completed Date: 2010-02-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8609169 Medline TA: Pediatr Surg Int Country: Germany |
Other Details:
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Languages: eng Pagination: 1007-11 Citation Subset: IM |
Affiliation:
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Division of General Surgery, National Center for Child Health and Development, 2-10-1 Okura Setagaya-ku, Tokyo, 157-8535, Japan. morikawa-n@ncchd.go.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Digestive System Surgical Procedures
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adverse effects,
methods Dilatation, Pathologic / etiology, surgery Enteral Nutrition* Humans Infant, Newborn Intestine, Small / surgery* Male Postoperative Complications / etiology, surgery Reoperation Short Bowel Syndrome / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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