Long-Term Outcome of Children with Short Bowel Syndrome Treated with a Modification of the STEP Technique Avoiding Mesenteric Defect
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In brief
In brief
Modified STEP technique (MSTEP) without mesenteric defects achieved 45% enteral autonomy in 16 pediatric short bowel syndrome patients over median 5.8-year follow-up. The modification allows duodenal application and showed particular success in patients preserving >50% colon. Study demonstrates comparable outcomes to standard STEP registry while potentially reducing mesenteric complications.
Written by the GCMD Library team from the article.
Background The Serial Transverse Enteroplasty Procedure (STEP) Registry has reported a 47% success to achieve enteral autonomy in pediatric short bowel syndrome (SBS). We have performed the STEP with a technical modification (MSTEP) consisting in stapler application without mesenteric defects that can also be applied to the duodenum. Our experience with this technique is described.
Materials and Methods In this study, 16 children with SBS underwent MSTEP (2005–2019). Indications were nutritional autonomy achievement (n = 11, with duodenal lengthening in 5/11) and bacterial overgrowth treatment (n = 5).
Results With a median follow-up of 5.8 years (0.7–13.7 years), 5 of 11 (45%) patients achieved enteral autonomy, 4 of them with duodenal lengthening. Four of four who preserved > 50% colon, while only one of seven with