title: "Spiral intestinal lenghtening and tailoring (SILT)" for a child with severely short bowel.
abstract: We report a child with post-surgical short bowel state who underwent bowel expansion followed by spiral intestinal lengthening and tailoring (SILT) at 10 months of age. Growth at 1-year follow-up is along the 15-25th centile on 82 % oral calories as normal diet and 18 % as parenteral nutrition, and he is passing 2-3 semisolid motions daily. SILT is a versatile technique for reconstructing dilated bowel towards improved propulsion and absorption, and has a role in the management of the short bowel state.
authors.affiliation: Department of Paediatric Surgery, Azienda Ospedaliera Spedali Civili, Piazzale Spedali Civili 1, 25123, Brescia, BS, Italy, dr.filippo.parolini@gmail.com.
authors.forename: Daniele
authors.initials: D
authors.lastname: Alberti
authors.forename: Giovanni
authors.initials: G
authors.lastname: Boroni
authors.forename: Giulia
authors.initials: G
authors.lastname: Giannotti
authors.forename: Filippo
authors.initials: F
authors.lastname: Parolini
authors.forename: Andrea
authors.initials: A
authors.lastname: Armellini
authors.forename: Antonino
authors.initials: A
authors.lastname: Morabito
authors.forename: Adrian
authors.initials: A
authors.lastname: Bianchi
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007422:Intestines / Q000601:surgery; D008297:Male; D010288:Parenteral Nutrition / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D012778:Short Bowel Syndrome / Q000601:surgery*; D016896:Treatment Outcome