title: Success of serial transverse enteroplasty in an adult with extreme short bowel syndrome: a case report.
abstract: Since its introduction as an alternative intestinal lengthening technique, serial transverse enteroplasty has been increasingly used as the surgical treatment of choice for children with refractory short bowel syndrome, but there have been few reports about the adult patients. This report describes the case of a 71-year-old man with a short bowel after distal gastrectomy with Billroth II reconstruction for gastric cancer, followed by extensive intestinal resection. The serial transverse enteroplasty operation was performed and lengthened the small intestine from 49 to 67 cm. The patient tolerated the procedure well and weaned off total parenteral nutrition. Liver function also improved. This case shows that the serial transverse enteroplasty procedure increases intestinal length. This procedure should be considered a surgical option for adult patients with extreme short bowel syndrome.
authors: Department of Surgery, Jinling Hospital, Nanjing University School of Medicine, Nanjing, China.
authors: Shengxian
authors: S
authors: Fan
authors: Yousheng
authors: Y
authors: Li
authors: Shaoyi
authors: S
authors: Zhang
authors: Jian
authors: J
authors: Wang
authors: Jieshou
authors: J
authors: Li
mesh_terms: D000368:Aged; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005743:Gastrectomy; D006801:Humans; D007421:Intestine, Small / Q000601:surgery*; D008111:Liver Function Tests; D008297:Male; D012778:Short Bowel Syndrome / Q000209:etiology* / Q000601:surgery*; D013274:Stomach Neoplasms / Q000601:surgery
keywords: Adult; Extreme short bowel syndrome; Intestinal lengthening; Serial transverse enteroplasty