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Post–serial transverse enteroplasty bowel redilatation treated by longitudinal intestinal lengthening and tailoring procedure

  • Fabio Fusaro
    Correspondence
    Corresponding author. Tel.: +32 27641401; fax: +32 27648954.
    Affiliations
    Pediatric Intestinal Rehabilitation Unit, Department of Abdominal Surgery and Transplantation, St Luc University Hospital, Catholic University of Louvain (UCLouvain), 1200 Brussels, Belgium
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  • Dominique Hermans
    Affiliations
    Pediatric Intestinal Rehabilitation Unit, Department of Pediatrics, St Luc University Hospital, Catholic University of Louvain (UCLouvain), 1200 Brussels, Belgium
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  • Catherine Wanty
    Affiliations
    Pediatric Intestinal Rehabilitation Unit, Department of Pediatrics, St Luc University Hospital, Catholic University of Louvain (UCLouvain), 1200 Brussels, Belgium
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  • Francis Veyckemans
    Affiliations
    Pediatric Intestinal Rehabilitation Unit, Department of Anesthesiology, St Luc University Hospital, Catholic University of Louvain (UCLouvain), 1200 Brussels, Belgium
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  • Jacques Pirenne
    Affiliations
    Department of Abdominal Transplant Surgery, University Hospitals Leuven, Catholic University Leuven (KULeuven), Campus Gasthuisberg Herestraat 4, 3000 Leuven, Belgium
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  • Raymond Reding
    Affiliations
    Pediatric Intestinal Rehabilitation Unit, Department of Abdominal Surgery and Transplantation, St Luc University Hospital, Catholic University of Louvain (UCLouvain), 1200 Brussels, Belgium
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      Abstract

      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.

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