[A follow-up study in individuals subjected to ileo-cecal resection in infancy and childhood].
It is stated that the ileocecal valve delays the passage of ileal contents into the cecum and acts as a barrier against reflux and ascension of colonic bacterial flora into the small bowel: its resection may lead to bacterial colonization of the ileum and to abnormalities of intestinal motility, transit and absorption. In this study twenty individuals subjected in pediatric age (1 day to 11 years) to ileocecal resection have been evaluated from 2 to 19 years after surgery. Three patients underwent limited ileocecal resection, in four this was associated with a significant ileal resection, in five with extensive right colon resection and in eight with extensive ileal and right colon resection. Growth, stool habit, hematology and serum biochemistry were examined; all patients also underwent abdominal ultrasonography. In all body weight and height were within normal limits; seven had moderate diarrhea up to 18 months after surgery and two who required extensive intestinal resection (40 and 30 cm of small bowel left) had diarrhea until about 36 months after surgery: now all of them have daily fecal evacuation. Hematological, biochemical, urinary and fecal studies proved normal except in one treated with TPN who presented transaminases slightly increased and in three suffering from mucoviscidosis in whom steatorrhea with moderate alterations of fats and elevation of alkaline phosphatase and transaminases were present. Urinary and gall stones were not seen in anyone. In conclusion from this study it can be postulated that removal of ileocecal valve can be done safely in children.
Verga
G
G
Clinica di Chirurgia Pediatrica, IRCCS Policlinico, S. Matteo, Università degli Studi, Pavia.
Spina
P
P
Minniti
S
S
Verga
L
L
D000886:Anthropometry; D002648:Child; D002675:Child, Preschool; D003106:Colon / Q000601:surgery; D006801:Humans; D007080:Ileocecal Valve / Q000601:surgery*; D007223:Infant; D007231:Infant, Newborn; D008286:Malabsorption Syndromes / Q000175:diagnosis; D012189:Retrospective Studies; D012778:Short Bowel Syndrome / Q000601:surgery