Modified Spiral Intestinal Lengthening and Tailoring for Short Bowel Syndrome

Modified Spiral Intestinal Lengthening and Tailoring for Short Bowel Syndrome Publisher Pubmed

Mehrabi V¹ ; Mehrabi A² ; Jamshidi SH¹ ; Pedram MS¹ ; Sabagh MS³ ; Jaberansari N³ ; Fonouni HR² ; Sharifi AH³ ; Malekzadeh R³ ; Frongia G²

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1. University of Medical Science, Tehran, Iran
2. Heidelberg University, Heidelberg, Germany
3. Tehran University of Medical Science, Shariati, Iran

Source: Surgical Innovation Published:2016

Abstract

Background. The spiral intestinal lengthening and tailoring (SILT) procedure is a new surgical technique for autologous intestinal reconstruction in patients with short bowel syndrome. The aim of this work is to present a first description of a modified SILT technique by which the mucosal layer is left intact to possibly reduce the severe postoperative complications of intestinal leakage and abdominal abscess formation. Materials and Methods. The modified SILT technique was performed on a 10-cm-long intestinal segment in 2 pigs to determine the technical feasibility. Thereafter, the short-term clinical feasibility was monitored clinically in 2 dogs by gastrointestinal X-ray series at postoperative day 4 and by relaparotomy postoperative day 10. Results. It was technically feasible to lengthen the intestinal segment from 10 cm to 20 cm and tailoring it from 3 cm to 1.7 cm in diameter, while leaving the intestinal mucosal layer intact. The postoperative course was uneventful for both dogs. The gastrointestinal X-ray series showed an inconspicuous intestinal transit time without any signs of stricture, perforation, or leakage. In the relaparotomy, the initially achieved lengthening and tailoring extents were preserved and the operated intestinal segment was well perfused with no early signs of necrosis, stenosis, or leakage. Conclusions. Leaving the mucosal layer intact during SILT is technically and clinically feasible in the short term in a large animal model. Further studies are needed to fully assess the impact of this technical modification on the long-term outcome of larger series. © The Author(s) 2015.

Style	Citing Format
MLA	Mehrabi V, et al.. "Modified Spiral Intestinal Lengthening and Tailoring for Short Bowel Syndrome." Surgical Innovation, vol. 23, no. 1, 2016, pp. 30-35.
APA	Mehrabi V, Mehrabi A, Jamshidi SH, Pedram MS, Sabagh MS, Jaberansari N, Fonouni HR, Sharifi AH, Malekzadeh R, Frongia G (2016). Modified Spiral Intestinal Lengthening and Tailoring for Short Bowel Syndrome. Surgical Innovation, 23(1), 30-35.
Chicago	Mehrabi V, Mehrabi A, Jamshidi SH, Pedram MS, Sabagh MS, Jaberansari N, Fonouni HR, Sharifi AH, Malekzadeh R, Frongia G. "Modified Spiral Intestinal Lengthening and Tailoring for Short Bowel Syndrome." Surgical Innovation 23, no. 1 (2016): 30-35.
Harvard	Mehrabi V et al. (2016) 'Modified Spiral Intestinal Lengthening and Tailoring for Short Bowel Syndrome', Surgical Innovation, 23(1), pp. 30-35.
Vancouver	Mehrabi V, Mehrabi A, Jamshidi SH, Pedram MS, Sabagh MS, Jaberansari N, et al.. Modified Spiral Intestinal Lengthening and Tailoring for Short Bowel Syndrome. Surgical Innovation. 2016;23(1):30-35.
BibTex	@article{ author = {Mehrabi V and Mehrabi A and Jamshidi SH and Pedram MS and Sabagh MS and Jaberansari N and Fonouni HR and Sharifi AH and Malekzadeh R and Frongia G}, title = {Modified Spiral Intestinal Lengthening and Tailoring for Short Bowel Syndrome}, journal = {Surgical Innovation}, volume = {23}, number = {1}, pages = {30-35}, year = {2016} }
RIS	TY - JOUR AU - Mehrabi V AU - Mehrabi A AU - Jamshidi SH AU - Pedram MS AU - Sabagh MS AU - Jaberansari N AU - Fonouni HR AU - Sharifi AH AU - Malekzadeh R AU - Frongia G TI - Modified Spiral Intestinal Lengthening and Tailoring for Short Bowel Syndrome JO - Surgical Innovation VL - 23 IS - 1 SP - 30 EP - 35 PY - 2016 ER -

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