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Case Report of an Adult Patient Who Underwent a Serial Transverse Enteroplasty Procedure for Short Bowel Syndrome Following an Esophagectomy and Total Gastrectomy

Other Title
식도 및 위절제 시행했던 환자에서 대량 소장절제로 발생한 단장증후군 환자에서 STEP 시행 증례 보고
Authors
Son, SY  | Cui, LH | Shin, HJ  | Hur, H  | Han, SU
Citation
Journal of Clinical Nutrition, 9(2). : 68-73, 2017
Journal Title
Journal of Clinical Nutrition
ISSN
2289-02032383-7101
Abstract
Since its introduction as an alternative intestinal lengthening technique, the serial transverse enteroplasty (STEP) procedure has been used increasingly as the surgical treatment of choice for children with short bowel syndrome (SBS). On the other hand, there are few report of its efficacy in adults with SBS, particularly those who have previously undergone a gastrectomy. This case report describes a 34-year-old woman with a short bowel after an esophagectomy and total gastrectomy due to lye ingestion followed by an extensive intestinal resection due to small bowel strangulation. The STEP procedure was performed successfully and the small intestine was lengthened from 55 to 75 cm. The patient tolerated the procedure well and was weaned off total parenteral nutrition. The frequency and characteristics of diarrhea improved, and her weight remained acceptable via management with intermittent parenteral nutritional support for 6 months postoperatively. This case suggests that the STEP procedure should be considered for gastrectomized patients with SBS.
Keywords
DOI
10.15747/jcn.2017.9.2.68
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Surgery
Ajou Authors
손, 상용  |  신, 호정  |  한, 상욱  |  허, 훈
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