First procedure of STEP in Uruguay

Authors

  • Bernardo Berazategui Cátedra de Cirugía Pediátrica, Hospital Pereira Rossell, Facultad de Medicina, Universidad de la República
  • Santiago Piñeiro Cátedra de Cirugía Pediátrica, Hospital Pereira Rossell, Facultad de Medicina, Universidad de la República
  • Ruver Berazategui Ex Prof. Cátedra de Cirugía Pediátrica, Hospital Pereira Rossell, Facultad de Medicina, Universidad de la República
  • Carlos Juambelz Cátedra de Cirugía Pediátrica, Hospital Pereira Rossell, Facultad de Medicina, Universidad de la República

Keywords:

Short Bowel Syndrome, Bowel lenghtemiag technique,, Enteroplasty, Uruguay

Abstract

Introduction: The treatment of Short Bowel Syndrome (SBS) in pediatric patients is a great challenge due to its complexity and individual variability and requires a multidisciplinary team. It is based on 3 pillars: nutritional support, intestinal rehabilitation and transplantation. The concept of intestinal rehabilitation refers to those measures designed to promote the adaptation of the residual intestine, achieving the suspension or reduction of parenteral nutrition needs. The STEP procedure is highlighted as an alternative for intestinal lengthening.

Objective: dissemination of pathology as an increasing entity and communicate the first STEP procedure performed in Uruguay.

Clinical Case: Infant Newborn (INB) pre-term; prenatal diagnosis of gastroschisis, in the reception, almost total ischemic involvement of the small intestine and colon was detected, determining intestinal insufficiency due to SBS. The evolution of intestinal pathology from resection to intestinal adaptation is described, where the STEP technique stands out. We describe the procedure performed and the results obtained.

Discussion: The different surgical techniques for the treatment of SBS are compared. Highlighting the Bianchi procedure and STEP as intestinal elongation techniques. The bibliography is reviewed exhaustively. Conclusion: STEP procedure is performed, it is feasible and safe, with the benefits i

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References

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Published

2019-06-23

How to Cite

1.
Berazategui B, Piñeiro S, Berazategui R, Juambelz C. First procedure of STEP in Uruguay. Cir. Urug. [Internet]. 2019 Jun. 23 [cited 2024 Nov. 22];1(1):23-30. Available from: https://revista.scu.org.uy/index.php/cir_urug/article/view/21

Issue

Vol. 1 No. 1 (2017): Revista Cirugía del Uruguay

Section

Clinical cases

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