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The First Report of the International STEP Data Registry: Indications, Efficacy and Complications A Good First Step

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The First Report of the International STEP Data Registry: Indications, Efficacy and Complications A Good First Step

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    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

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