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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
식도 및 위절제 시행했던 환자에서 대량 소장절제로 발생한 단장증후군 환자에서 STEP 시행 증례 보고
J Clin Nutr 2017;9:68-73
Published online December 31, 2017
© 2017 Korean Society for Parenteral and Enteral Nutrition.

Sang-Yong Son, Long-Hai Cui, Ho-Jung Shin, Hoon Hur, Sang-Uk Han
손상용, 최룡해, 신호정, 허 훈, 한상욱

Department of Surgery, Ajou University School of Medicine, Suwon, Korea
아주대학교 의과대학 외과학교실
Sang-Yong Son
Department of Surgery, Ajou University School of Medicine, 164 WorldCup-ro, Yeongtong-gu, Suwon 16499, Korea
Tel: +82-31-219-5200, Fax: +82-31-219-5755, E-mail: spy798@gmail.com
Received June 21, 2017; Revised December 10, 2017; Accepted December 13, 2017.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 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 : Short bowel syndrome, Gastrectomy, Serial transverse enteroplasty procedure

 

December 2017, 9 (2)