{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,2]],"date-time":"2026-01-02T07:10:09Z","timestamp":1767337809638,"version":"3.37.3"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur J Pediatr Surg"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The 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.<\/jats:p><jats:p>\n          Materials and Methods\u2003In this study, 16 children with SBS underwent MSTEP (2005\u20132019). Indications were nutritional autonomy achievement (n\u2009=\u200911, with duodenal lengthening in 5\/11) and bacterial overgrowth treatment (n\u2009=\u20095).<\/jats:p><jats:p>\n          Results\u2003With a median follow-up of 5.8 years (0.7\u201313.7 years), 5 of 11 (45%) patients achieved enteral autonomy, 4 of them with duodenal lengthening. Four of four who preserved\u2009&gt;\u200950% colon, while only one of seven with\u2009&lt;\u200950% of colon achieved enteral autonomy (p\u2009&lt;\u20090.05). After redo procedures, three of four attained enteral autonomy. Thus, 8 of 11 (73%) progressed to enteral autonomy, including all with duodenal lengthening. One child, already parenteral nutrition free, died due to central line sepsis. All the patients from the bacterial translocation group improved their metabolic\/nutritional status, but one required subsequent enterectomy of the lengthened intestine due to multiple ulcers in the staple lines.<\/jats:p><jats:p>\n          Conclusion\u2003The effectiveness of MSTEP to achieve enteral autonomy seems similar to the classical STEP. It can be applied to the duodenum. The retained colon length may influence the post-STEP enteral autonomy achievement.<\/jats:p>","DOI":"10.1055\/s-0041-1735163","type":"journal-article","created":{"date-parts":[[2021,9,17]],"date-time":"2021-09-17T23:16:56Z","timestamp":1631920616000},"page":"352-356","source":"Crossref","is-referenced-by-count":3,"title":["Long-Term Outcome of Children with Short Bowel Syndrome Treated with a Modification of the STEP Technique Avoiding Mesenteric Defect"],"prefix":"10.1055","volume":"32","author":[{"given":"Javier","family":"Bueno","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Vall d'Hebron University Hospital, Barcelona, Catalunya, Spain"},{"name":"Department of Pediatric Surgery, Mother and Child University Hospital of Badajoz, Extremadura, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4293-0252","authenticated-orcid":false,"given":"Laura","family":"Garc\u00eda-Mart\u00ednez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Vall d'Hebron University Hospital, Barcelona, Catalunya, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susana","family":"Redecillas","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Vall d'Hebron University Hospital, Barcelona, Catalunya, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oscar","family":"Segarra","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Vall d'Hebron University Hospital, Barcelona, Catalunya, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"L\u00f3pez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Vall d'Hebron University Hospital, Barcelona, Catalunya, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,9,17]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1016\/S0022-3468(03)00115-5","article-title":"Serial transverse enteroplasty for short bowel syndrome: a case report","volume":"38","author":"H B Kim","year":"2003","journal-title":"J Pediatr Surg"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/S0022-3468(80)80005-4","article-title":"Intestinal loop lengthening\u2013a technique for increasing small intestinal length","volume":"15","author":"A Bianchi","year":"1980","journal-title":"J Pediatr Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1053\/jpsu.2003.50073","article-title":"Serial transverse enteroplasty (STEP): a novel bowel lengthening procedure","volume":"38","author":"H B Kim","year":"2003","journal-title":"J Pediatr Surg"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1016\/j.jpedsurg.2014.11.047","article-title":"Duodenal lengthening in short bowel with dilated duodenum","volume":"50","author":"J Bueno","year":"2015","journal-title":"J Pediatr Surg"},{"issue":"01","key":"ref5","first-page":"59","article-title":"Duodenal lengthening in an adult with ultra-short bowel syndrome. 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