Longitudinal intestinal lengthening and tailoring

The longitudinal intestinal lengthening and tailoring (Bianchi) procedure is a form of autologous intestinal reconstruction. The small bowel is divided longitudinally in the midline, preserving one leaf of mesentery with its blood supply to each half. This results in two vascularized segments of small bowel which can then be rejoined end-to-end to restore continuity of the small bowel. There are also another ways of performing this procedure.[1] it is one of the surgical therapeutic options along with other surgical options such as small bowel segmental reversal, artificial intestinal valve construction, electrical pacing of the small bowel, serial transverse enteroplasty, or transplantation in treatment of short gut syndrome.[2]

Longitudinal intestinal lengthening and tailoring
Specialtygastroenterology

The procedure was first described by Bianchi in 1980 in a porcine model and first applied clinically by Boeckman and Traylor in 1981.[1]

References
  1. Yeo, Charles J.; McFadden, David W.; Pemberton, John H.; Peters, Jeffrey H.; Matthews, Jeffrey B. (26 July 2012). Shackelford's Surgery of the Alimentary Tract E-Book. Elsevier Health Sciences. ISBN 978-1455738076 – via Google Books.
  2. "Full text of "Toronto Notes 2018 - Essential Med Notes 2018 Comprehensive Medical Reference & Review For USMLE II And MCCQE, 34th Edition"". Retrieved 2018-07-27.


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