Controlled Tissue Expansion
In patients suffering from short bowel syndrome, bowel dilatation can occur either spontaneously during the intestinal adaptation phase or can be triggered by formation of tube stomas. Controlled tissue expansion (CTE) is a surgical approach aiming to dilate remaining bowel in patient suffering from short bowel syndrome. CTE consists in clamping the proximal tube stoma and recycling the effluent in the distal bowel. The goal is to increase the length and circumferential diameter of the bowel during a period of 20–24 weeks. This creates a new and greater surface area for absorption and more tissue for lengthening and tailoring. CTE should be considered part of the armamentarium within an intestinal rehabilitation programme.
KeywordsShort Bowel Syndrome Bacterial Overgrowth Intestinal Adaptation Bowel Dilatation Distal Bowel
Controlled tissue expansion