Abstract
In patients suffering from short bowel syndrome, bowel dilatation can occur either spontaneously during the intestinal adaptation phase or can be triggered by formation of tube stomas. Controlled tissue expansion (CTE) is a surgical approach aiming to dilate remaining bowel in patient suffering from short bowel syndrome. CTE consists in clamping the proximal tube stoma and recycling the effluent in the distal bowel. The goal is to increase the length and circumferential diameter of the bowel during a period of 20–24 weeks. This creates a new and greater surface area for absorption and more tissue for lengthening and tailoring. CTE should be considered part of the armamentarium within an intestinal rehabilitation programme.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- CTE:
-
Controlled tissue expansion
- NG:
-
Nasogastric tube
References
Georgeson K, Halpin D, Figueroa R, Vincente Y, Hardin Jr W. Sequential intestinal lengthening procedures for refractory short bowel syndrome. J Pediatr Surg. 1994;29(2):316–20; discussion 20–1.
Collins 3rd J, Vicente Y, Georgeson K, Kelly D. Partial intestinal obstruction induces substantial mucosal proliferation in the pig. J Pediatr Surg. 1996;31(3):415–9.
Bianchi A. From the cradle to enteral autonomy: the role of autologous gastrointestinal reconstruction. Gastroenterology. 2006;130(2 Suppl 1):S138–46.
Khalil BA, Ba’ath ME, Aziz A, Forsythe L, Gozzini S, Murphy F, et al. Intestinal rehabilitation and bowel reconstructive surgery: improved outcomes in children with short bowel syndrome. J Pediatr Gastroenterol Nutr. 2012;54(4):505–9.
Coletta R, Khalil BA, Morabito A. Short bowel syndrome in children: surgical and medical perspectives. Semin Pediatr Surg. 2014;23(5):291–7.
Marnerides A, Ghazi S, Sundberg A, Papadogiannakis N. Development of fetal intestinal length during 2nd-trimester in normal and pathologic pregnancies. Pediatr Dev Pathol. 2012;15(1):24–9.
Murphy F, Khalil BA, Gozzini S, King B, Bianchi A, Morabito A. Controlled tissue expansion in the initial management of the short bowel state. World J Surg. 2011;35(5):1142–5.
Pataki I, Szabo J, Varga P, Berkes A, Nagy A, Murphy F, et al. Recycling of bowel content: the importance of the right timing. J Pediatr Surg. 2013;48(3):579–84.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Coletta, R., Morabito, A. (2016). Controlled Tissue Expansion. In: Rintala, R., Pakarinen, M., Wester, T. (eds) Current Concepts of Intestinal Failure. Springer, Cham. https://doi.org/10.1007/978-3-319-42551-1_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-42551-1_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-42549-8
Online ISBN: 978-3-319-42551-1
eBook Packages: MedicineMedicine (R0)