The aim is to help the remaining intestines adapt and assume the absorption functions that have been comprised. Medications such as Imodium are used to control diarrhea. Ursodeoxycholic acid, which is a naturally occurring bile, is used to dissolve and prevent cholesterol gallstone formation and to treat biliary cirrhosis (the bile ducts in the liver are slowly destroyed). Acid blocking agents and vitamin supplements can be used.
STEP, serial transverse interpolate procedure, was first performed in 2002 by pediatric surgeons at Children's Hospital Boston. This is a surgical procedure which is recommended for children who are dependent on intravenous nutrition. The goal is to increase the length of the small intestine so that nutrition received through the gastrointestinal tract can be better tolerated and the child can be eventually weaned off of intravenous nutrition. (3)