Evidence map›Paper›PMID 41880743›Full record

ArticleSurgery2026

Repeated lengthening using distraction enterogenesis: A porcine model.

Pamela Emengo, Gillian L Fell, Helene Nepomuceno, Anne-Laure Thomas, James C Y Dunn

Abstract read
In one paragraph

Article in Surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Pamela EmengoDivision of Pediatric Surgery, Department of Surgery, Stanford University, Stanford, CA.
Gillian L FellDivision of Pediatric Surgery, Department of Surgery, Stanford University, Stanford, CA.
Helene NepomucenoDivision of Pediatric Surgery, Department of Surgery, Stanford University, Stanford, CA.
Anne-Laure ThomasDivision of Pediatric Surgery, Department of Surgery, Stanford University, Stanford, CA.
James C Y DunnDivision of Pediatric Surgery, Department of Surgery, Stanford University, Stanford, CA; Department of Bioengineering, Stanford University, Stanford, CA. Electronic address: jdunn2@stanford.edu.

Funding

Spring Mediated EnterogenesisR01DK130972 · NIDDK · STANFORD UNIVERSITY · PI James C Dunn · 2021 to 2026
$1.8M
NIDDK NIH HHS R01 DK130972
6 · The paper itself

Abstract

introductionSpring-mediated distraction enterogenesis aims to use mechanical stretch to generate new functional intestinal tissue in patients with short bowel syndrome. Because of the incremental nature of spring-mediated distraction enterogenesis, patients may require multiple spring insertions to produce enough tissue to wean off parenteral nutrition. We aim to demonstrate the feasibility of repeated lengthening within the same intestinal segment.

methodsJuvenile Yucatan pigs underwent a laparotomy to introduce a gelatin-encapsulated nitinol spring into the jejunum. After 14-21 days, a second laparotomy was performed to remove the initial spring and insert a new compressed spring with a greater force constant into a portion of the previously lengthened jejunum. After 7 days, the pigs were killed, and samples were collected.

resultsSpring insertion produced a significant increase in jejunal length when compared to controls. Both the initial and the subsequent stronger springs produced an equivalent amount of lengthening. Crypt depth, mucosal thickness, muscularis thickness, and the outer serosal perimeter of the repeatedly lengthened jejunal segments all increased compared with control segments.

conclusionPreviously lengthened segments of jejunum were successfully relengthened using spring-mediated distraction enterogenesis in a porcine model. This suggests that patients with short bowel syndrome may be offered repeat distraction procedures to achieve a greater increase in bowel length than a single spring-mediated distraction enterogenesis procedure.

Indexed as

JejunumShort Bowel SyndromeTissue ExpansionAnimalsDisease Models, AnimalFeasibility StudiesFemaleSwine

Identifiers

PMID41880743
PMCPMC13446750

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.