Ileal lengthening through internal distraction: A novel procedure for ultrashort bowel syndrome

•What is currently known about this topic?•Short bowel syndrome is the most common cause of intestinal failure among children. Children with ultrashort bowel syndrome have < 10% of their expected length of bowel and are unlikely to achieve enteral autonomy with current therapy. There are no described surgical techniques that specifically treat ultrashort bowel syndrome.•What new information is contained in this article?•We describe a new technique for the surgical treatment of ultrashort bowel syndrome, ileal tube lengthening to employ distraction enterogenesis. In a description of 4 patients who underwent ileal tube lengthening, we report 1.75 cm or 45% growth over a month without any major complications.