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2009 | 81 | 2 | 113-117

Article title

Bowel Lengthening by Serial Transverse Enteroplasty (STEP) in the Short Bowel Syndrome. Primary Experience


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New technique of bowel lengthening- Serial Transverse Enteroplasty (STEP) in a case of patient with short bowel syndrome with great fluid losses accompanied with electrolyte disorders is presented. The patient was parenteral nutrition-dependent. After surgery total bowel length almost doubled and electrolyte disorders ceased. Intra-venous supply was reduced by half. This procedure in our opinion is easier than other techniques of bowel lengthening, but still very effective and may be a surgical option of choice in patients with short bowel syndrome. According to our knowledge it has been the first such procedure performed in Poland.








Physical description


1 - 2 - 2009
20 - 3 - 2009


  • Department of Surgery and Urology for Children and Adolescents, Medical University of Gdańsk
  • Department of Peadiatrics, Gastroenterology, Hepathology and Nutrition, University of Gdańsk
  • Department of Surgery and Urology for Children and Adolescents, Medical University of Gdańsk


  • Szczygieł B, Jonkers-Schuitema CF, Naber T, Kunecki M: Leczenie żywieniowe po rozległym wycięciu jelita (zespół krótkiego jelita). W: Sobotka L, Allison SP, Furst P, Meier R, Pertkieiwcz M, Soeters P (red.). Podstawy żywienia klinicznego. Wydawnictwo Lekarskie PZWL, Warszawa 2007.
  • Vanderhoof JA, Langnas AN: Short bowel syndrome in children and adults. Gastroenterol 1997; 113: 1767-78.
  • Ziegler MM: Short bowel syndrome in infancy: etiology and management. Clin Perinatol 1986; 13: 163-73.
  • Thompson JS, Langnas AN, Pinch LW et al.: Surgical approach to short-bowel syndrome. Experience in a population of 160 patients. Ann Surg 222(4): 600-05; discussion 605-07.
  • Bianchi A: Intestinal loop lengthening - a technique for increasing small intestinal length. J Pediatr Surg 1980; 15(2): 145-51.[PubMed][Crossref]
  • Bianchi A: Intestinal lengthening: an experimental and clinical review. J R Soc Med 1984; 77 Suppl 3: 35-41.
  • Todo S, Tzakis AG, Abu-Elmagd K et al.: Intestinal transplantation in composite visceral grafts or alone. Ann Surg 1992; 216(3): 223-33; discussion 233-34.
  • Kim HB, Fauza D, Garza J et al.: Serial transverse enteroplasty (STEP): a novel bowel lengthening procedure. J Pediatr Surg 2003; 38(3): 425-29.[Crossref]
  • Kim HB, Lee PW, Garza J, Duggan C et al.: Serial transverse enteroplasty for short bowel syndrome: a case report. J Pediatr Surg 2003; 38(6): 881-85.[Crossref]
  • Javid PJ, Kim HB, Duggan CP et al.: Serial transverse enteroplasty is associated with successful short-term outcomes in infants with short bowel syndrome. J Pediatr Surg 2005; 40(6): 1019-23; discussion 1023-24.[Crossref]
  • Goulet O, Ruememele F, Lacaille F et al.: Irreversible intestinal failure. J Pediatr Gastroenterol Nutr 2004; 38: 250-69.
  • Spencer AU, Neaga A, West B et al.: Pediatric short bowel syndrome: redefining predictors of success. Ann Surg 2005; 242: 403-09.
  • Torres C, Sudan D, Vanderhoof J et al.: Role of an intestinal rehabilitation program in the treatment of advanced intestinal failure. J Pediatr Gastroenterol Nutr 2007; 45: 204-12.
  • Mitchell JE, Breuer RI, Zuckerman L et al.: The colon influence on ileal resection diarrhea. Dig Dis Sci 1980; 25: 33-41.[Crossref]
  • Piper H, Modi BP, Kim HB et al.: The second STEP: the feasibility of repeat serial transverse enteroplasty. J Pediatr Surg 2006; 41(12): 1951-56.[Crossref]

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