Comparing bowel lengthening procedures: which, when, and why?

Jasper B. van Praagh, H. Sijbrand Hofker, Jan-Willem Haveman*

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    7 Citations (Scopus)
    41 Downloads (Pure)


    Purpose of review Intestinal failure secondary to short bowel syndrome is still a very serious condition. Treatment consists of parenteral nutrition to provide nutrients and maintain body weight. During the last decades, intestinal lengthening procedures have become more available. The goal of this review is to discuss the results of the literature on the most commonly performed intestinal lengthening procedures. Recent findings Longitudinal Intestinal Lengthening, Serial Transverse Enteroplasty (STEP), and Spiral Intestinal Lengthening and Tailoring (SILT) are currently the most frequently reported intestinal lengthening procedures. The most recent literature of these procedures is described with respect to indication, technical details, complications, short and long-term outcome, and PN independence. On the basis of indication, surgical complexity, complications, and clinical success, we conclude that the STEP procedure is probably the best choice for most centers.

    Original languageEnglish
    Pages (from-to)112-118
    Number of pages7
    JournalCurrent opinion in organ transplantation
    Issue number2
    Publication statusPublished - Apr-2022


    • Intestinal failure
    • intestinal lengthening
    • short bowel syndrome
    • STEP

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