BACKGROUND/ PURPOSE: Despite a good understanding of short-term outcomes of the longitudinal intestinal lengthening and tailoring (LILT) and serial transverse enteroplasty (STEP) procedures, limited data exist on long-term complications. METHODS: This is a 15-year single-institution retrospective chart review of patients who underwent an intestinal lengthening procedure (ILP). Long-term ILP-related complications, their interval to development, patients' ability to wean off parenteral nutrition (PN), and the need for further procedures were analyzed. RESULTS: Of 119 patients with short bowel syndrome, 14 had undergone an ILP. Seven patients had an LILT, and 9 patients had a STEP, including repeat ILPs on the same patient. Overall, 93% of patients had complications. Four patients in the LILT group and 3 patients in the STEP group weaned off PN. Eight patients (57%) experienced bowel redilation after their ILP. The 2 deaths in the study came from this group. Seven required another abdominal operation and only one weaned off PN. There were no significant differences in mean bowel length between the redilated group and the non-re-dilated group. CONCLUSIONS: Complications are common after ILPs, and patients who redilated their bowel after ILP did clinically worse than those who did not. Copyright Â
BACKGROUND/ PURPOSE: Despite a good understanding of short-term outcomes of the longitudinal intestinal lengthening and tailoring (LILT) and serial transverse enteroplasty (STEP) procedures, limited data exist on long-term complications. METHODS: This is a 15-year single-institution retrospective chart review of patients who underwent an intestinal lengthening procedure (ILP). Long-term ILP-related complications, their interval to development, patients' ability to wean off parenteral nutrition (PN), and the need for further procedures were analyzed. RESULTS: Of 119 patients with short bowel syndrome, 14 had undergone an ILP. Seven patients had an LILT, and 9 patients had a STEP, including repeat ILPs on the same patient. Overall, 93% of patients had complications. Four patients in the LILT group and 3 patients in the STEP group weaned off PN. Eight patients (57%) experienced bowel redilation after their ILP. The 2 deaths in the study came from this group. Seven required another abdominal operation and only one weaned off PN. There were no significant differences in mean bowel length between the redilated group and the non-re-dilated group. CONCLUSIONS: Complications are common after ILPs, and patients who redilated their bowel after ILP did clinically worse than those who did not. Copyright Â
Authors: Katherine D Walton; Asa Kolterud; Michael J Czerwinski; Michael J Bell; Ajay Prakash; Juhi Kushwaha; Ann S Grosse; Santiago Schnell; Deborah L Gumucio Journal: Proc Natl Acad Sci U S A Date: 2012-09-10 Impact factor: 11.205
Authors: Farokh R Demehri; Jennifer J Freeman; Yumi Fukatsu; Jonathan Luntz; Daniel H Teitelbaum Journal: Surgery Date: 2015-05-23 Impact factor: 3.982
Authors: Kuang Horng-Jamie Kang; Ivan M Gutierrez; David Zurakowski; Stephanie Diperna; Carlo Buonomo; Heung Bae Kim; Tom Jaksic Journal: Pediatr Surg Int Date: 2012-11-16 Impact factor: 1.827