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Updated: Sep 21, 2025
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Does Ileocecal Resection Affect Children's Medium-Long-Term Growth and Defecation Patterns? A Matched Case-Control
Jiayu Yan1, Waiun Lei1, Yajun Chen2
1Department of General Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Insights
Ileocecal resection in children does not impact medium-long-term growth or bowel habits. This study found no significant differences in growth or defecation patterns after the procedure.
Area of Science:
- Pediatric surgery
- Gastroenterology
- Child health outcomes
Background:
- Ileocecal resection is performed for various pediatric conditions.
- Potential effects on long-term growth and bowel function remain unclear.
- Early complications are known, but medium-long-term sequelae require investigation.
Purpose of the Study:
- To investigate the association between ileocecal resection and children's medium-long-term growth.
- To assess the impact of ileocecal resection on children's defecation patterns.
- To compare outcomes with a control group and an appendectomy group.
Main Methods:
- A matched case-control study was conducted.
- Three groups were included: ileocecal resection (case), no resection (control), and appendectomy.
- Growth (height-for-age, BMI) and defecation patterns (stool frequency, consistency) were evaluated 6 months post-surgery.
Main Results:
- Before matching, the case group showed a higher prevalence of dry stools.
- After 1:1 matching (gender, age), no significant differences in growth or defecation patterns were observed between case and control groups.
- No significant differences in defecation patterns were found between control and appendectomy groups.
Conclusions:
- Ileocecal resection does not appear to negatively affect medium-long-term growth in children.
- Defecation patterns in children are not significantly altered by ileocecal resection in the medium-long term.
- The findings support the safety of ileocecal resection regarding growth and bowel function.
Background:
Ileocecal resection leads to some early complications, but it is unknown whether it affects children's medium-long-term growth and defecation patterns. To determine if there was an association, we conducted this matched case-control study.
Methods:
This study was conducted in Beijing Children's Hospital and included three groups: the case group (n = 30) included patients with ileocecal duplication undergoing ileocecal resection between January 2010 and June 2021, the control group (n = 90) included outpatient patients without ileocecal resection in January 2022, and the appendectomy group (n = 90) included patients who underwent appendectomy between January 2010 and June 2021. The 1:1 matching criteria included gender and age (within 1 year). The evaluation indicators were growth (height-for-age, BMI) and defecation patterns (stool frequency, stool consistency) over 6 months after surgery. Defecation patterns were assessed in patients older than 4 years. Stool consistency was evaluated by the modified Bristol Stool Form Scale.
Results:
There were no significant differences, except for stool consistency, between the case and control groups regarding their growth and defecation patterns before case-control matching. The patients in the case group had a significantly higher prevalence of dry stool (P < 0.008). After case-control matching, there were no significant differences in the growth and defecation patterns between the case and control groups. Before and after case-control matching, there were no significant differences in the defecation patterns between the control group and the appendectomy group.
Conclusion:
Children's medium-long-term growth and defecation patterns were not affected by ileocecal resection.
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