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Enteroenteroanastomosis near adjacent ileocecal valve in infants

Wei-Wei Jiang1, Xiao-Qun Xu, Qi-Ming Geng

  • 1Department of Pediatric Surgery, Nanjing Children's Hospital Affiliated to Nanjing Medical University, Nanjing 210008, Jiangsu Province, China.

World Journal of Gastroenterology
|January 18, 2013
PubMed

Insights

Ileoileostomy near the ileocecal valve in infants is safe and effective, showing fewer complications like diarrhea and infection compared to ileocecal resection with ileotransversanastomosis.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery

Background:

  • The ileocecal valve plays a crucial role in intestinal function.
  • Preserving the ileocecal valve is desirable in infant surgeries to maintain normal digestion and nutrient absorption.

Purpose of the Study:

  • To evaluate the feasibility and effectiveness of ileoileostomy adjacent to the ileocecal valve in infants.
  • To compare outcomes of ileoileostomy with ileocecal resection and ileotransversanastomosis.

Main Methods:

  • Retrospective review of 48 infants undergoing ileoileostomy (group 1) and 34 undergoing ileocecal resection with ileotransversanastomosis (group 2).
  • Key outcomes assessed included time to flatus, resumption of eating, hospital stay, serum bile acids, vitamin B12 levels, and postoperative complications.

Main Results:

  • No significant differences in time to flatus, eating resumption, or hospital stay between groups.
  • Serum total bile acid and vitamin B12 levels decreased significantly at 1 week post-operation in the ileocecal resection group (group 2).
  • The ileoileostomy group (group 1) exhibited lower incidences of diarrhea, intestinal infection, and acid-base/electrolyte disturbances.

Conclusions:

  • Ileoileostomy adjacent to the ileocecal valve is a safe surgical option for infants.
  • This technique results in fewer postoperative complications compared to ileocecal resection with ileotransversanastomosis.
Abstract

Keywords:
Ileocecal valveIleoileostomyInfants

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