J Pediatr Surg 2012 Oct;47(10):e19-22
Pediatric Intestinal Rehabilitation Unit, Department of Abdominal Surgery and Transplantation, St Luc University Hospital, Catholic University of Louvain (UCLouvain), 1200 Brussels, Belgium.
The serial transverse enteroplasty (STEP) is a safe and successful procedure to lengthen the small bowel. Several patients develop postoperative bowel redilatation with loss of bowel adaptation. We describe a 2-month-old male infant with short bowel syndrome who developed dilatation of the lengthened segment after STEP, which was successfully treated by a longitudinal intestinal lengthening and tailoring procedure. To the best of our knowledge, this is the first described case of longitudinal intestinal lengthening and tailoring procedure after STEP.