110 likes | 305 Views
E N D
1. The First Report of the International STEP Data Registry: Indications, Efficacy and Complications A Good First Step Biren P. Modi MD, Patrick J. Javid MD, Tom Jaksic MD PhD, Hannah Piper MD, Monica Langer MD, and Heung Bae Kim MD
on behalf of
The International STEP Data Registry
May 23, 2006
2. Serial Transverse Enteroplasty (STEP) Introduced in 2003 for intestinal lengthening and tapering in Short Bowel Syndrome
No single center is likely to obtain sufficient experience
Multicenter analysis needed
4. Demographics 38 patients have been enrolled through April, 2006
Mean age at STEP 5.4 years (range DOL1 to 19.9 years)
Median Follow-up 11.5 months
19 pediatric surgery groups have submitted patients
7. Outcomes
8. Outcomes
9. Complications
10. Conclusions STEP has been performed successfully and safely around the world
The indications for the procedure have broadened to include SBS, bacterial overgrowth and neonatal atresia
STEP is effective in bowel lengthening, increasing enteral tolerance and treating persistent refractory bacterial overgrowth
The complication profile of the STEP procedure is highly favorable
11. Conclusions Data provided by the Registry has helped to improve the operative technique and define the indications and outcomes of the STEP procedure
With continued accrual, the goal of the International STEP Data Registry is to assist in the process of patient selection and patient counseling
12. International STEP Data Registry-Participating Groups Austin Pediatric Surgery Association
Baylor College of Medicine
Childrens Hospital Boston
Childrens Hospital of Michigan
Childrens Hospital of New Jersey
Childrens Hospital of New York
Columbus Childrens Hospital
C.S. Mott Childrens Hospital, University of Michigan
Hospital S Joao (Portugal) Hospital Universitario Valle de Hebron (Spain)
Kapiolani Pediatric Surgery
Northwest Permanente
Pediatric Surgery of Idaho
Pediatric Surgical Associates, Minneapolis
Penn State University
Schneider Childrens Hospital
Seattle Childrens Hospital
University of Utah
Vanderbilt Childrens Hospital