Criteria: >= 4 cm bowel dilation, TPN dependence
1. Measure the duodenal width to obtain ‘standard’ width for the child
2. Cut a pledget to use as a measuring stick (to above length)
3. Mark the antimesenteric border of the bowel and always keep this up
4. Start distally (r/o stricture at sb-colon anastomosis)
5. Spread a clamp through the mesentery from side to side (AM border up), have a red robinson cath pulled through to guide the stapler
6. Measure twice with the pledget and fire stapler
7. Leave the mesenteric defect open
8. Figure of 8 the cut crotch of the bowel with 4-0 or 5-0 Prolene
9. NPO for one week then UGI SBFT
10. Slow increase in fdgs – drip at night via GT and bolus during day

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