{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:41:03Z","timestamp":1787503263331,"version":"build-2736575974"},"reference-count":24,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2008,11,1]],"date-time":"2008-11-01T00:00:00Z","timestamp":1225497600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. pediatr. gastroenterol. nutr."],"published-print":{"date-parts":[[2008,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>Longitudinal intestinal lengthening and tailoring (LILT) is a well\u2010established surgical treatment for short bowel syndrome. It has been shown to enhance peristalsis, decrease bacterial overgrowth, and extend mucosal contact time for nutrients. We present the results of a long\u2010term follow\u2010up of patients who underwent LILT and define prognostic parameters for the survival of these patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Between 1987 and 2006, 53 patients underwent LILT in our institution. The main diagnoses were gastroschisis, intestinal volvulus, intestinal atresias, and necrotizing enterocolitis. LILT was performed at a mean age of 24 months (range 4\u2212144 months). The follow\u2010up time was 79.76 months (range 6\u2212234 months).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      After LILT, 41 of 53 patients survived, and 36 of 41 surviving patients were successfully weaned from parenteral nutrition (PN). In long\u2010term follow\u2010up 79% stayed free of PN. The overall survival rate was 77.36%. Weight gain occurred in 58% of the patients after LILT. The quality of life after LILT is on a high level, with most patients having normal physical strength and participating in normal social life and education. Prognostic factors for survival after LILT in short bowel syndrome are length of small intestine (0.06582 + 0.0131 \u00d7 bowel cm), length of large bowel (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.039), preoperative liver function, and successful weaning from PN within 18 months postoperatively (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.0032).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Patients undergoing LILT in short bowel syndrome have a high survival rate, weight gain, and a high quality of life. Autologous gastrointestinal reconstruction remains therefore the first choice in the treatment of patients with short bowel syndrome.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1097\/mpg.0b013e31816232e3","type":"journal-article","created":{"date-parts":[[2008,10,10]],"date-time":"2008-10-10T03:09:00Z","timestamp":1223608140000},"page":"573-578","source":"Crossref","is-referenced-by-count":53,"title":["Long\u2010Term Outcome in Patients With Short Bowel Syndrome After Longitudinal Intestinal Lengthening and Tailoring"],"prefix":"10.1002","volume":"47","author":[{"given":"K","family":"Reinshagen","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Kabs","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Munich Schwabing Hospital University of Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"H","family":"Wirth","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N","family":"Hable","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Brade","sequence":"additional","affiliation":[{"name":"Department of Medical Statistics and Information University of Heidelberg"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K","family":"Zahn","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C","family":"Hagl","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I","family":"Jester","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"KL","family":"Waag","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery Mannheim Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,11]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2005.09.070"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(65)80099-X"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1959.04320100003001"},{"key":"e_1_2_5_5_1","first-page":"243","article-title":"Role of recirculating loops in the management of massive resection of the small intestine","volume":"125","author":"Budding 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