ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2010
Intestinal lengthening in adult patients with short bowel syndrome.
Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Intestinal bowel lengthening in children with short bowel syndrome: systematic review of the Bianchi and STEP procedures.World journal of surgery · 2013Pooled it
- Current practice and future perspectives in the treatment of short bowel syndrome in children--a systematic review.Langenbeck's archives of surgery · 2012Pooled it
- Pooled it
- Serial Transverse Enteroplasty and the Reestablishment of Enteral Autonomy Among the Adult Population: New Insights With Advanced Clinical Practice and Novel Outcome Predictive Model.Annals of surgery · 2026Article
- Intestinal-Failure-Associated Liver Disease: Beyond Parenteral Nutrition.Biomolecules · 2025Review
- Current Insights Regarding Intestinal Failure-Associated Liver Disease (IFALD): A Narrative Review.Nutrients · 2023Review
- Early Bowel Lengthening Procedures: Bi-Institutional Experience and Review of the Literature.Children (Basel, Switzerland) · 2022Article
- How to manage a high-output stoma.Frontline gastroenterology · 2022Article
- Small and Large Intestine (II): Inflammatory Bowel Disease, Short Bowel Syndrome, and Malignant Tumors of the Digestive Tract.Nutrients · 2021Review
- Role of Serial Transverse Enteroplasty in the Management of Adult-Type Short Bowel Syndrome: Experience from a Single Tertiary Referral Hospital in Turkey.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021Article
- Causes and Prognosis of Intestinal Failure in Crohn's Disease: An 18-year Experience From a National Centre.Journal of Crohn's & colitis · 2020Article
- Surgeon's perspective on short bowel syndrome: Where are we?World journal of transplantation · 2018Article
- Intestinal failure: a review.F1000Research · 2018Review
- Pre-emptive Intestinal Transplant: The Surgeon's Point of View.Digestive diseases and sciences · 2017Review
- Short Bowel Syndrome and Malabsorption - Causes and Prevention.Viszeralmedizin · 2014Review
- Gastrointestinal bleeding as a complication of serial transverse enteroplasty.Journal of pediatric surgery · 2014Article
- Management of intestinal failure in inflammatory bowel disease: small intestinal transplantation or home parenteral nutrition?World journal of gastroenterology · 2014Review
- [Surgical treatment of short bowel syndrome].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2014Article
- The future developments in nutrition.Frontline gastroenterology · 2012Review
- Intestinal Bowel Lengthening within the First 6 Months of Life: Institutional Experience and Review of the Literature.Journal of Indian Association of Pediatric SurgeonsArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionLimited information regarding the usefulness of bowel lengthening in adult patients with short bowel syndrome is available.
methodsRetrospective review of a single center series of intestinal lengthening over 15-year period in patients ≥ 18 years old.
resultsTwenty adult patients underwent Bianchi (n = 6) or serial transverse enteroplasty (STEP) (n = 15). Median age was 38 (18-66) years and 11 were female. Indications were (a) to increase the enteral caloric intake thereby reduce or wean parenteral nutrition (PN) (n = 14) or (b) for bacterial overgrowth (n = 6). Twelve patients required additional procedures to relieve the anatomical blockade. Median remnant bowel length prior to surgery, length gained and final bowel length was 60, 20, and 80 cm, respectively. Survival was 90% with mean follow-up of 4.1 years (range = 1-7.9 years). Two patients died during follow-up. Intestinal transplant salvage was required in one patient 4.8 years after STEP. Overall, of 17 patients, ten (59%) patients achieved enteral autonomy and were off PN. Of seven patients who are on PN, three patients showed significant improvement in enteral caloric intake. All except one showed significant improvement in symptoms of bacterial overgrowth.
conclusionsBowel lengthening is technically feasible and effectively leads to weaning from PN in more than half of the adult patients. Lengthening procedures may be an underutilized treatment for adults with short bowel syndrome.
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Registered trials
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