Department of Pediatric Surgery, Severance Children's Hospital, Yonsei University College of Medicine, Seoul, Korea.
J Korean Med Sci. 2012 Jun;27(6):701-3. doi: 10.3346/jkms.2012.27.6.701. Epub 2012 May 26.
The serial transverse enteroplasty (STEP) procedure is a novel technique to lengthen and taper the bowel in patients with short bowel syndrome. The advantages of STEP include not only technical ease and simplicity, but also the ability to repeat the procedure. Herein, we report a case of extreme short bowel syndrome that was successfully treated by the second STEP procedure. A 3-day old newborn girl underwent STEP because of jejunal atresia with the small bowel length of 15 cm, but her bowel elongation was not enough to escape from short bowel syndrome. At the age of 6 months, she underwent a second STEP procedure. The bowel lengthening by the second STEP made her tolerable to enteral feeding with body weight gain and rescued her from short bowel syndrome. This case showed that second STEP is very helpful in treatment of extreme short bowel syndrome.
序贯横断肠成形术（STEP）是一种延长和缩窄短肠综合征患者肠管的新方法。STEP 的优点不仅在于技术上的简单易行，还在于可以重复进行该手术。本文报道了一例成功接受第二次 STEP 治疗的极重度短肠综合征患儿。一名 3 天大的新生儿因空肠闭锁接受了 STEP 手术，其小肠长度为 15cm，但肠管延长不足以避免短肠综合征。6 个月大时，患儿接受了第二次 STEP 手术。第二次 STEP 使肠管进一步延长，患儿能够耐受肠内喂养，体重增加，从而摆脱了短肠综合征的困扰。该病例表明，第二次 STEP 对极重度短肠综合征的治疗非常有帮助。
