title: [Ileocecal valve reconstruction in dogs].
abstract: OBJECTIVE
  The importance of keeping the ileocecal valve in the intestinal ressections has been reported by several authors. When preserved, the ileocecal valve was related to a longer survival and prevention of the short bowel syndrome, due to its ability to block the colonic content reflux into the ileum and to avoid the rapid empting of the ileal content into the cecum. It was assessed a tecnique of ileocecal valve reconstitution, based on vesicoureteral anti-reflux tecniques.
  
  
  METHODS
  Fourteen beagles were operated. Seven underwent ileocecal valve reconstitution following the tecnique proposed and in the other seven a simple end-to-end anastomosis was performed. To assess the new valve, it was done the clinical follow up, the microbiologic analysis and the manometric study.
  
  
  RESULTS
  Clinically, during 45 days of follow up, there was no difference between the dogs with and without ileocecal reconstitution. In the aerobic bacteria analysis, the predominant bacterium was Escherichia coli. Quantitatively, the cultures grew in an irregular way, so that it was not able to compare the bacterial growth between the groups with or without ileocecal valve. The new valve had a colo-ileal reflux pressure similar to that of the physiological valve (P > 0.05). However, when compared to the non valve group, the reflux pressures of the physiological valve and new valve were significantly higher, with P < 0.05 and P < 0.001, respectively.
  
  
  CONCLUSIONS
  In this study, the reconstituted ileocecal valve served as a barrier to the colo-ileal reflux just as the physiological valve does.
authors.affiliation: Disciplina de Técnica Operatória e Cirurgia Experimental da Universidade Federal de Santa Catarina (UFSC). fboffmaegawa@hotmail.com
authors.forename: Felipe Antonio Boff
authors.initials: FA
authors.lastname: Maegawa
authors.forename: José Antônio
authors.initials: JA
authors.lastname: de Souza
authors.forename: Edevard José
authors.initials: EJ
authors.lastname: de Araújo
authors.forename: Ivan Hong Jun
authors.initials: IH
authors.lastname: Koh
authors.forename: Armando José
authors.initials: AJ
authors.lastname: d'Acampora
authors.forename: Débora Cadore
authors.initials: DC
authors.lastname: de Farias
authors.forename: Jackson
authors.initials: J
authors.lastname: Mengarda
authors.forename: Daniel
authors.initials: D
authors.lastname: Volpato
authors.forename: Luis Gustavo Ferreira
authors.initials: LG
authors.lastname: da Silva
authors.forename: Cleta Selva
authors.initials: CS
authors.lastname: de Córdova
mesh_terms: D000818:Animals; D013505:Digestive System Surgical Procedures / Q000379:methods; D004285:Dogs; D007080:Ileocecal Valve / Q000601:surgery*; D008297:Male