{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,28]],"date-time":"2025-06-28T12:42:52Z","timestamp":1751114572690},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2019,10]]},"abstract":"<jats:p>\n            Aim\u2003The aim of this study was to report our initial experience using spiral intestinal lengthening and tailoring (SILT) technique in selected cases of short bowel syndrome (SBS).<\/jats:p><jats:p>\n            Materials and Methods\u2003We analyzed all cases of SBS underwent SILT in our unit since the introduction of the procedure in 2012. We retrospectively analyzed patients' demographics, pre- and postprocedure bowel length, surgical complications, and postoperative parenteral nutrition (PN) requirements. Data were compared using independent samples, Mann\u2013Whitney's U-test.<\/jats:p><jats:p>\n            Results\u2003Five children with SBS underwent SILT between 2012 and 2017. Median age at procedure was 8.3 months (4.5\u201316). Preoperative small bowel length measured a median of 22 cm (17.5\u201350) with a median diameter of 4 cm (3.5\u20134.6). SILT allowed a median increase in length of 56% (10\u201315 cm; p\u2009=\u20090.03) and tailoring of the dilated segment providing a reduction in diameter of 50% (4.3\u20132.1 cm; p\u2009=\u20090.01). No major complications related to SILT were encountered and none of the children required further surgical intervention following a median follow-up of 26 months (14.5\u201341). Interestingly, we observed a significant reduction of PN requirement at 6 months (p\u2009=\u20090.008) associated with liver function preservation during the follow-up period.<\/jats:p><jats:p>\n            Conclusion\u2003In our experience, SILT is a promising adjunct in the surgical management of SBS. It can be used to tailor and lengthen mildly dilated segments of the bowel where other procedures are technically challenging, with a view to reduce the risk of intestinal failure associated liver disease and thereby improving chances for quality survival. Further studies are needed to investigate long-term outcomes of SILT in pediatric SBS.<\/jats:p>","DOI":"10.1055\/s-0038-1660850","type":"journal-article","created":{"date-parts":[[2018,6,19]],"date-time":"2018-06-19T19:28:30Z","timestamp":1529436510000},"page":"412-416","source":"Crossref","is-referenced-by-count":15,"title":["Institutional Experience with Spiral Intestinal Lengthening and Tailoring"],"prefix":"10.1055","volume":"29","author":[{"given":"Riccardo","family":"Coletta","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Royal Manchester Children's Hospital, Manchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bashar","family":"Aldeiri","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Royal Manchester Children's Hospital, Manchester, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonino","family":"Morabito","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Universita Degli Studi di Firenze Scuola di Scienze Della Salute Umana, Firenze, Toscana, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2018,6,19]]},"container-title":["European Journal of Pediatric Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0038-1660850.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,10,21]],"date-time":"2019-10-21T18:31:26Z","timestamp":1571682686000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0038-1660850"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,19]]},"references-count":0,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2019,10,21]]},"published-print":{"date-parts":[[2019,10]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0038-1660850","relation":{},"ISSN":["0939-7248","1439-359X"],"issn-type":[{"value":"0939-7248","type":"print"},{"value":"1439-359X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,6,19]]}}}