Serial transverse enteroplasty (STEP) procedure for short bowel syndrome – ‘tips and tricks’ – a video vignette

2020 ◽  
Vol 22 (11) ◽  
pp. 1773-1774
Author(s):  
G. Elorza‐Echaniz ◽  
I. Aguirre‐Allende ◽  
N. Borda‐Arrizabalaga ◽  
Y. Saralegui‐Ansorena ◽  
C. Placer‐Galan ◽  
...  
Keyword(s):  
Short Bowel Syndrome ◽  
Tips And Tricks ◽  
Short Bowel ◽  
Step Procedure ◽  
Serial Transverse Enteroplasty ◽  
Video Vignette

The Use of Multiple Serial Transverse Enteroplasty (STEP) Procedures for the Management of Intestinal Atresia and Short Bowel Syndrome

2013 ◽  
Vol 79 (8) ◽  
pp. 826-828 ◽  
Author(s):  
Varun K. Bhalla ◽  
Walter L. Pipkin ◽  
Robyn M. Hatley ◽  
Charles G. Howell
Keyword(s):  
Small Bowel ◽  
Short Bowel Syndrome ◽  
Intestinal Transit Time ◽  
Small Bowel Length ◽  
Short Bowel ◽  
Jejunal Atresia ◽  
Repeat Procedure ◽  
Step Procedure ◽  
Primary Procedure ◽  
Serial Transverse Enteroplasty

The serial transverse enteroplasty procedure (STEP) was introduced as a bowel-lengthening procedure to reduce complications related to short bowel syndrome (SBS). Although some have described it as a useful adjunct to the Bianci procedure, others have acknowledged it as a primary procedure. We present a case of jejunal atresia in which two STEP procedures were performed 7 months apart to increase small bowel length. A 1-day-old, term girl presented with a known bowel obstruction diagnosed in utero. A laparotomy revealed a Type IIIb jejunal atresia with no remaining small bowel or cecum. A STEP procedure with an end jejunostomy and ascending colon mucous fistula lengthened the small bowel from 35 to 50 cm. A repeat procedure 7 months later lengthened it to 89 cm. The STEP procedure results in slower intestinal transit time and increases enterocytes contact with oral intake. We performed it during our initial exploration to increase small bowel size by 30 per cent. A repeat procedure 7 months later increased length to 89 cm. The use of multiple, staged STEP procedures avoided the need for bowel transplantation and long-term total parenteral nutrition dependence, demonstrating its effectiveness as a primary procedure for the surgical management of SBS.

The STEP procedure in an adult patient with short bowel syndrome: A case report

2011 ◽  
Vol 22 (3) ◽  
pp. 333-336 ◽  
Author(s):  
Muhittin YAPRAK ◽  
Okan ERDOGAN ◽  
Mehmet OGUS
Keyword(s):  
Case Report ◽  
Adult Patient ◽  
Short Bowel Syndrome ◽  
Short Bowel ◽  
Step Procedure

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

2009 ◽  
Vol 25 (11) ◽  
pp. 1007-1011 ◽  
Author(s):  
Nobuyuki Morikawa ◽  
Tatsuo Kuroda ◽  
Yoshihiro Kitano ◽  
Hideaki Tanaka ◽  
Hajime Takayasu ◽  
...  
Keyword(s):  
Enteral Nutrition ◽  
Short Bowel Syndrome ◽  
Short Bowel ◽  
Step Procedure

Delayed primary serial transverse enteroplasty as a novel management strategy for infants with congenital ultra-short bowel syndrome

2013 ◽  
Vol 48 (5) ◽  
pp. 993-999 ◽  
Author(s):  
Paul W. Wales ◽  
Tim Jancelewicz ◽  
Rodrigo L. Romao ◽  
Hannah G. Piper ◽  
Nicole T. de Silva ◽  
...  
Keyword(s):  
Short Bowel Syndrome ◽  
Management Strategy ◽  
Short Bowel ◽  
Serial Transverse Enteroplasty

Growth and Nutritional Status in Infants With Short-Bowel Syndrome After the Serial Transverse Enteroplasty Procedure

2006 ◽  
Vol 4 (10) ◽  
pp. 1237-1241 ◽  
Author(s):  
Christopher Duggan ◽  
Hannah Piper ◽  
Patrick J. Javid ◽  
Clarissa Valim ◽  
Sharon Collier ◽  
...  
Keyword(s):  
Nutritional Status ◽  
Short Bowel Syndrome ◽  
Short Bowel ◽  
Serial Transverse Enteroplasty
Sign in / Sign up

Export Citation Format

Share Document