Repeat STEP procedure to establish enteral nutrition in an infant with short bowel syndrome

Nobuyuki Morikawa, Tatsuo Kuroda, Yoshihiro Kitano, Hideaki Tanaka, Hajime Takayasu, Akihiro Fujino, Yumiko Shibata, Hiroko Tanemura, Mitsuru Muto, Toshiro Honna

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)


The serial transverse enteroplasty (STEP) procedure is a safe and successful way to lengthen the small bowel in patients with short bowel syndrome. However, postoperative dilatation of the intestine may occur, which induces bacterial overgrowth and malabsorption leading to liver failure. We describe the case of an infant boy with short bowel syndrome caused by jejunal atresia requiring the STEP procedure twice. The first STEP improved the liver function, and the second STEP allowed 80% of the total calorie intake to be tolerated enterally. One should not hesitate to perform a second STEP if after the initial bowel lengthening procedure the patient develops small bowel dilatation that interferes with enteral nutrition.

Original languageEnglish
Pages (from-to)1007-1011
Number of pages5
JournalPediatric surgery international
Issue number11
Publication statusPublished - 2009 Nov
Externally publishedYes


  • Bowel dilatation
  • Enteral nutrition
  • Intestinal lengthening
  • Serial transverse enteroplasty (STEP)
  • Short bowel syndrome

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery


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