Serial transverse enteroplasty for the treatment of intestinal failure in children
10.3760/cma.j.cn113855-20230926-00188
- VernacularTitle:连续横向肠成形术在儿童肠衰竭治疗中的应用
- Author:
Xiaoxia ZHAO
1
;
Jiali WANG
;
Shuqi HU
;
Shu FANG
;
Dengming LAI
;
Qi QIN
;
Jinfa TOU
Author Information
1. 浙江大学医学院附属儿童医院新生儿外科 国家儿童健康与疾病临床医学研究中心，杭州310052
- Keywords:
Child;
Parenteral nutrition;
Intestinal failure;
Serial transverse enteroplasty
- From:
Chinese Journal of General Surgery
2024;39(11):839-843
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the single-center experience of serial transverse enteroplasty (STEP) in children with intestinal failure.Methods:The clinical data of 13 children who underwent STEP surgery at our department from Jan 2016 to Dec 2022 was retrospectively analyzed.Results:Eight children were females ,5 were males. There were 10 premature infants and 3 full-term infants. The gestational age was 26 +3-39 +5 weeks, and the birth weight was 860 -3 700 g. The median age of surgery was 12 months, the median length of small intestine was 70 (50-130) cm, the diameter of preoperative intestinal dilation was about 4.5 to 7.5 cm, and the operation interval was 2.5 to 3.0 cm. Continuous transverse enteroenteroplasty resulted in an average increase of 75% (66% to 100%) in the length of the dilated intestinal segment. The total length of the small intestine increases by 16.0% (12.5%-30.0%). After the operation, 12 of the 13 children (92.3%) were removed from parenteral nutrition to achieve intestinal adaptation of the remaining bowel, and the mean time of withdrawal from parenteral nutrition was 138(20-1 011) days after the operation. Intestinal dilatation occurred in 2 patients, and gastrointestinal bleeding occurred in 4 patients, which healed after conservative treatment. Conclusions:STEP operation is suitable for children with short intestinal length and obvious expansion of intestinal tube. STEP can not only reduce the diameter of the enlarged intestine, but also extend the length of the intestine, increase the feeding tolerance, improve the clinical effect of enteral nutrition, and shorten the time for children to achieve intestinal adaptation.
