Abstract
We report a child with post-surgical short bowel state who underwent bowel expansion followed by spiral intestinal lengthening and tailoring (SILT) at 10 months of age. Growth at 1-year follow-up is along the 15–25th centile on 82 % oral calories as normal diet and 18 % as parenteral nutrition, and he is passing 2–3 semisolid motions daily. SILT is a versatile technique for reconstructing dilated bowel towards improved propulsion and absorption, and has a role in the management of the short bowel state.
This is a preview of subscription content, log in via an institution to check access.
References
Cserni T, Takayasu H, Muzsnay Z et al (2011) New idea of intestinal lengthening and tailoring. Pediatr Surg Int 27(9):1009–1013
Cserni T, Varga G, Erces D, Kaszaki J, Boros M, Laszlo A, Murphy F, Földvari A, Morabito A, Bianchi A, Rakoczy G (2013) Spiral intestinal lengthening and tailoring—first in vivo study. J Pediatr Surg 48(9):1907–1913
Vaughan WG, Grosfeld JL, West K, Scherer LR 3rd, Villamizar E, Rescorla FJ (1996) Avoidance of stomas and delayed anastomosis for bowel necrosis: the ‘clip and drop-back’ technique. J Pediatr Surg 31(4):542–545
Murphy F, Khalil BA, Gozzini S, King B, Bianchi A, Morabito A (2011) Controlled tissue expansion in the initial management of the short bowel state. World J Surg 35(5):1142–1145
King B, Carlson G, Khalil BA, Morabito A (2013) Intestinal bowel lengthening in children with short bowel syndrome: systematic review of the Bianchi and STEP procedures. World J Surg 37:694–704
Bianchi A (1980) Intestinal loop lengthening—a technique for increasing small intestinal length. J Pediatr Surg 15:145–151
Kim H, Fauza D, Garza J et al (2003) Serial transverse enteroplasty (STEP): a novel bowel lengthening procedure. J Pediatr Surg 38:425–429
Ba’ath ME, Almond S, King B, Bianchi A, Khalil BA, Morabito A (2012) Short bowel syndrome: a practical pathway leading to successful enteral autonomy. World J Surg 36(5):1044–1048
Bianchi A (2006) From the cradle to enteral autonomy: the role of autologous gastrointestinal reconstruction. Gastroenterology 130(Supplement 1):S138–S146
Conflict of interest
The authors have no conflict of interest to disclose.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Alberti, D., Boroni, G., Giannotti, G. et al. “Spiral intestinal lenghtening and tailoring (SILT)” for a child with severely short bowel. Pediatr Surg Int 30, 1169–1172 (2014). https://doi.org/10.1007/s00383-014-3583-x
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-014-3583-x