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Key Clinical Message  We present a pediatric case of medically unmanageable juvenile colonic polyposis, initially treated with subtotal colectomy and an ileostomy followed by a proctectomy, ileal‐J‐pouch and serial transverse enteroplasties ( STEP ) of the distal ileum. The  STEP  procedure in an adequate length was able to control stooling of our patient.

Is STEP the future for patients requiring proctocolectomy? A new therapeutic proposal from pediatric experience