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Serial transverse enteroplasty to facilitate enteral autonomy in selected children with short bowel syndrome

Wester, T.; Borg, H.; Naji, H.; Stenström, Pernilla LU ; Westbacke, G. and Lilja, H. E. (2014) In British Journal of Surgery 101(10). p.1329-1333
Abstract
Background: Serial transverse enteroplasty (STEP) was first described in 2003 as a method for lengthening and tapering of the bowel in short bowel syndrome. The aim of this multicentre study was to review the outcome of a Swedish cohort of children who underwent STEP. Methods: All children who had a STEP procedure at one of the four centres of paediatric surgery in Sweden between September 2005 and January 2013 were included in this observational cohort study. Demographic details, and data from the time of STEP and at follow-up were collected from the case records and analysed. Results: Twelve patients had a total of 16 STEP procedures; four children underwent a second STEP. The first STEP was performed at a median age of 5 8 (range... (More)
Background: Serial transverse enteroplasty (STEP) was first described in 2003 as a method for lengthening and tapering of the bowel in short bowel syndrome. The aim of this multicentre study was to review the outcome of a Swedish cohort of children who underwent STEP. Methods: All children who had a STEP procedure at one of the four centres of paediatric surgery in Sweden between September 2005 and January 2013 were included in this observational cohort study. Demographic details, and data from the time of STEP and at follow-up were collected from the case records and analysed. Results: Twelve patients had a total of 16 STEP procedures; four children underwent a second STEP. The first STEP was performed at a median age of 5 8 (range 0.9-19.0) months. There was no death at a median follow-up of 37.2 (range 3.0-87.5) months and no child had small bowel transplantation. Seven of the 12 children were weaned from parenteral nutrition at a median of 19.5 (range 2.3-42.9) months after STEP. Conclusion: STEP is a useful procedure for selected patients with short bowel syndrome and seems to facilitate weaning from parenteral nutrition. At mid-term follow-up a majority of the children had achieved enteral autonomy. The study is limited by the small sample size and lack of a control group. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
British Journal of Surgery
volume
101
issue
10
pages
1329 - 1333
publisher
John Wiley & Sons
external identifiers
  • wos:000340606800020
  • scopus:84905921573
ISSN
1365-2168
DOI
10.1002/bjs.9583
language
English
LU publication?
yes
id
92567ba6-f8f0-4427-92f5-5c5e4cc36b15 (old id 4656200)
date added to LUP
2014-10-01 07:26:11
date last changed
2017-08-27 03:32:36
@article{92567ba6-f8f0-4427-92f5-5c5e4cc36b15,
  abstract     = {Background: Serial transverse enteroplasty (STEP) was first described in 2003 as a method for lengthening and tapering of the bowel in short bowel syndrome. The aim of this multicentre study was to review the outcome of a Swedish cohort of children who underwent STEP. Methods: All children who had a STEP procedure at one of the four centres of paediatric surgery in Sweden between September 2005 and January 2013 were included in this observational cohort study. Demographic details, and data from the time of STEP and at follow-up were collected from the case records and analysed. Results: Twelve patients had a total of 16 STEP procedures; four children underwent a second STEP. The first STEP was performed at a median age of 5 8 (range 0.9-19.0) months. There was no death at a median follow-up of 37.2 (range 3.0-87.5) months and no child had small bowel transplantation. Seven of the 12 children were weaned from parenteral nutrition at a median of 19.5 (range 2.3-42.9) months after STEP. Conclusion: STEP is a useful procedure for selected patients with short bowel syndrome and seems to facilitate weaning from parenteral nutrition. At mid-term follow-up a majority of the children had achieved enteral autonomy. The study is limited by the small sample size and lack of a control group.},
  author       = {Wester, T. and Borg, H. and Naji, H. and Stenström, Pernilla and Westbacke, G. and Lilja, H. E.},
  issn         = {1365-2168},
  language     = {eng},
  number       = {10},
  pages        = {1329--1333},
  publisher    = {John Wiley & Sons},
  series       = {British Journal of Surgery},
  title        = {Serial transverse enteroplasty to facilitate enteral autonomy in selected children with short bowel syndrome},
  url          = {http://dx.doi.org/10.1002/bjs.9583},
  volume       = {101},
  year         = {2014},
}