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- Title
Ileocaecal valve: how important is it?
- Authors
Folaranmi, S.; Rakoczy, G.; Bruce, J.; Humphrey, G.; Bowen, J.; Morabito, A.; Kapur, P.; Morecroft, J.; Craigie, R.; Cserni, T.
- Abstract
<bold>Purpose: </bold>Our aim was to investigate the importance of the ileocaecal valve and its reconstruction in patients that are not suffering from short bowel syndrome and Crohn's disease.<bold>Methods: </bold>Casenotes of 99 children with hemicolectomy and 24 children with terminal ileal resection were reviewed and sorted into three groups. Group 1: ileocaecal valve resection (limited hemicolectomy), Group 2: hemicolectomy, Group 3: terminal ileal resection between 10 and 25 cm. Patients with Crohn's, short bowel syndrome and incomplete follow-up were excluded.<bold>Results: </bold>Chronic diarrhoea was documented in 7/26 cases (27%) in Group 1, 6/23 patients (26%) in Group 2, and none of the 13 patients had diarrhoea in Group 3. Pearson Chi-square test showed significant difference between Group 1 and Group 3 (p = 0.038) and between Group 2 and Group 3 (p = 0.043). But there was no significant difference between Group 1 and Group 2 (p = 0.947).<bold>Conclusion: </bold>Chronic diarrhoea is a significant complication after limited hemicolectomy not only in Crohn's disease and short bowel syndrome. This is likely to originate from the loss of the ileocaecal valve itself rather than the loss of the ileal or colonic segment. Our results justify attempts to reconstruct the ileocaecal valve.
- Subjects
SPHINCTERS; IRRITABLE colon; CROHN'S disease; HEMICOLECTOMY; DIARRHEA in children; SURGICAL complications; PEDIATRIC surgery; COLON surgery; DIAGNOSIS of diarrhea; ILEUM surgery; CHRONIC diseases; COLECTOMY; COMPARATIVE studies; DIARRHEA; ILEUM; ILEUM diseases; RESEARCH methodology; MEDICAL cooperation; RESEARCH; EVALUATION research; SURGICAL anastomosis; DIAGNOSIS
- Publication
Pediatric Surgery International, 2011, Vol 27, Issue 6, p613
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-010-2841-9