Intestinal loop lengthening—A technique for increasing small intestinal length

doi:10.1016/S0022-3468(80)80005-4

Journal of Pediatric Surgery

Volume 15, Issue 2, April 1980, Pages 145-151

https://doi.org/10.1016/S0022-3468(80)80005-4 Get rights and content

A reproducible technique is described for doubling the length of a loop of small intestine, while simultaneously reducing its luminal diameter, and preserving the maximum amount of small bowel mucosa for intestinal adaptation. In pig experiments, 7 loops have been increased in length by the “intestinal loop lengthening” procedure, with survival of 5 of the 7 animals for a period of 16–26 wk. Leakage from the lengthened intestinal segment led to the death of one animal. At a second operation, or at termination of the experiment, all seven lengthened loops had a good blood supply and were patent along their full length. Histologic examination of 3 of the 4 specimens from the first phase of the study confirmed their viability. The potential application of intestinal loop lengthening in the management of the short gut syndrome is discussed.

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^*: Supported in part by Grant 288 from the Central District Research Grants Committee for the Manchester Area Health Authority (Teaching), Manchester, England.

^**: Presented before the XXVI Annual International Congress of the British Association of Paediatric Surgeons, Marseilles, France, July 17–20, 1979.

¹: From the Paediatric Surgical Subdivision of the Department of Surgery, The University of Manchester, Manchester, England.

View full text

Intestinal loop lengthening—A technique for increasing small intestinal length*,**

J Pediatr Surg

Ann J Surg

Lancet

Am J Surg

J Pediatr Surg

J Pediatr Surg

J Pediatr Surg

J Pediatr Surg

Gastroenterology

Gastroenterology

Massive small intestinal resection in newborn infants

Ann R Coll Surg Engl

Normal and abnormal small bowel lengths

Ann J Dis Child

Zum problem der subtotalen Dünndarmresektion beim Säugling

Z Kinderchir

Longterm results following extensive small intestinal resection in the neonatal period

Prog Pediatr Surg

Intestinal atresia and stenosis, excluding the duodenum

Effect of vagotomy and plyoroplasty on weight loss and survival of dogs after massive intestinal resection

Surgery

Role of recirculating loops in the management of massive resection of the small intestine

Surg Gynecol Obstet

The effect of antiperistaltic bowel segments on intestinal emptying time

Arch Surg