title: Enteroenteroanastomosis near adjacent ileocecal valve in infants.
abstract: OBJECTIVE
  To investigate the feasibility and the effectiveness of ileoileostomy in the region adjacent to the ileocecal valve, which can retain the ileocecal valve in infants.
  
  
  METHODS
  This is a retrospective review of 48 patients who underwent ileoileostomy in the region adjacent to the ileocecal valve (group 1) and 34 patients who underwent ileocecal resections and ileotransversanastomosis (group 2). Patients were monitored for the time to flatus, resumption of eating, length of hospital stay after surgery, serum total bile acid, vitamin B12 and postoperative complications.
  
  
  RESULTS
  The time to flatus, time until resumption of eating and post-operative length of hospital stay showed no statistically significant differences between the two groups. Serum total bile acid and vitamin B12 were not significantly different between the two groups at post-operative day 1 and day 3, but were significantly decreased at 1 wk after operation in group 2. None of the patients died or suffered from stomal leak in these two groups. However, the incidence of diarrhea, intestinal infection, disturbance of acid-base balance and water-electrolytes in group 1 was lower than in group 2.
  
  
  CONCLUSIONS
  Ileoileostomy in the region adjacent to the ileocecal valve is safe and results in fewer complications than ileotransversanastomosis in infants.
authors: Department of Pediatric Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing 210008, Jiangsu Province, China.
authors: Wei-Wei
authors: WW
authors: Jiang
authors: Xiao-Qun
authors: XQ
authors: Xu
authors: Qi-Ming
authors: QM
authors: Geng
authors: Jie
authors: J
authors: Zhang
authors: Huan
authors: H
authors: Chen
authors: Xiao-Feng
authors: XF
authors: Lv
authors: Chang-Gui
authors: CG
authors: Lu
authors: Wei-Bing
authors: WB
authors: Tang
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods*; D001647:Bile Acids and Salts / Q000097:blood; D003082:Colectomy / Q000379:methods*; D003967:Diarrhea / Q000209:etiology; D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D007080:Ileocecal Valve / Q000601:surgery*; D007223:Infant; D007231:Infant, Newborn; D007422:Intestines / Q000382:microbiology; D007902:Length of Stay; D008297:Male; D011183:Postoperative Complications; D012189:Retrospective Studies; D016896:Treatment Outcome; D014805:Vitamin B 12 / Q000097:blood
chemical_list: D001647:Bile Acids and Salts; D014805:Vitamin B 12
keywords: Ileocecal valve; Ileoileostomy; Infants