Controlled Tissue Expansion

  • Riccardo Coletta
  • Antonino MorabitoEmail author


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.


Short Bowel Syndrome Bacterial Overgrowth Intestinal Adaptation Bowel Dilatation Distal Bowel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



Controlled tissue expansion


Nasogastric tube


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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Paediatric Autologous Bowel Reconstruction and Rehabilitation UnitRoyal Manchester Children’s HospitalManchesterUK
  2. 2.Institute of Human Development, Faculty of Medical and Human SciencesUniversity of ManchesterManchesterUK
  3. 3.School of Environment and Life Sciences - University of SalfordManchesterUK
  4. 4.University of Manchester and Royal Manchester Children’s HospitalManchesterUK

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