Serial Transverse Enteroplasty (STEP)

  • Afif Kulaylat
  • Karen A. DiefenbachEmail author


This chapter describes the surgical procedure for serial transverse enteroplasty (STEP) as performed by the following approach: open. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: preoperative assessment with upper gastrointestinal (GI) follow through, abdominal entry, complete lysis of adhesions, assessment of bowel length and dilation, serial transverse enteroplasty, reassessment of bowel length, and abdominal closure.


Pediatric surgery Operative dictation Short-gut syndrome Bowel lengthening procedures STEP Enteroplasty 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Nationwide Children’s Hospital, Department of SurgeryColumbusUSA
  2. 2.Nationwide Children’s HospitalColumbusUSA

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