Related Experiment Video
Updated: Aug 29, 2025
Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Ileocecal duplication in children: a single-center experience of 115 cases
Jiayu Yan1, Waiun Lei1, Jun Yan1
1Department of General Surgery, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Insights
Ileocecal duplication in children, a rare congenital anomaly, often presents with intussusception. Surgical management varies, but preserving the ileocecal valve is feasible and leads to shorter recovery times without affecting long-term growth.
Area of Science:
- Pediatric Surgery
- Congenital Anomalies
- Gastrointestinal Surgery
Background:
- Ileocecal duplication presents unique challenges in pediatric clinical management.
- Ileocecal resection in children can lead to early postoperative complications.
- Understanding the specific types and locations of ileocecal duplications is crucial for surgical planning.
Purpose of the Study:
- To evaluate the clinical features, surgical management strategies, and long-term prognosis of ileocecal duplication in pediatric patients.
- To compare outcomes between ileocecal resection and cyst excision without resection.
- To identify specific locations of ileocecal duplication associated with intussusception.
Main Methods:
- Retrospective review of 115 pediatric patients diagnosed with ileocecal duplication from January 2010 to June 2021.
- Classification of duplications based on location: ileal intraluminal, ileal extraluminal, ileocecal valve, cecal intraluminal, and cecal extraluminal.
- Analysis of surgical procedures (ileocecal resection vs. cyst excision without resection) and patient outcomes, including intussusception, recovery time, complications, growth, and defecation patterns.
Main Results:
- Intussusception was significantly associated with ileal intraluminal, ileocecal valve, and cecal intraluminal types of duplication.
- Cyst excision without ileocecal resection was performed in 64.3% of patients and was associated with shorter oral intake times and hospital stays.
- No significant differences were observed in mid-term complications, growth, or stool frequency between surgical groups; however, cyst excision was linked to less dry stool.
Conclusions:
- Specific locations of ileocecal duplications predispose to intussusception and guide surgical approach.
- Ileocecal resection is not always necessary, as cyst excision without resection offers comparable mid-term outcomes regarding growth and defecation.
- Preserving the ileocecal valve through targeted excision appears to improve early postoperative recovery.
Abstract:
To evaluate the clinical features, surgical management, and prognosis of ileocecal duplication in children. A total of 115 patients diagnosed with ileocecal duplication at Beijing Children's Hospital between January 2010 and June 2021 were retrospectively reviewed. Ileocecal duplications were divided into ileal intraluminal (n = 41), ileal extraluminal (n = 24), ileocecal valve (n = 11), cecal intraluminal (n = 18), and cecal extraluminal (n = 3) types according to their locations. Median age at diagnosis was 9.5 (0.1-169.2) months. Intussusception was only observed preoperatively in patients with the ileal intraluminal (8/41), ileocecal valve (4/11), and cecal intraluminal (7/18) types (P = 0.004). Ileocecal resection and ileocolostomy and cyst excision without ileocecal resection were performed in 41 (35.7%) and 74 (64.3%) patients, respectively. The proportions of cyst excision without ileocecal resection performed in patients with different types were 78.0% (32/41), 91.7% (22/24), 27.3% (3/11), 27.8% (5/18), and 100.0% (3/3) (P < 0.001). Time of oral intake (P = 0.003) and hospital stay after surgery (P < 0.001) were significantly shorter in patients undergoing cyst excision without ileocecal resection. There were no significant differences in the complications, growth, and stool frequency (older than 4 years) between patients undergoing different surgical procedures. Regarding the stool consistency (older than 4 years), there was a lower proportion of dry stool in patients undergoing cyst excision (P = 0.008).
Conclusions:
Ileocecal duplications at specific locations are prone to intussusception and can influence the surgical procedure choice. At mid-term follow-up, the children's growth and defecation patterns do not seem to be affected by ileocecal resection.
What Is Known:
• How to address ileocecal duplication has always been challenging in clinical management. • Children who have an ileocecal resection can develop some early postoperative complications.
What Is New:
• Ileocecal duplications at specific locations are prone to intussusception and can influence the surgical procedure choice. • Children's growth and defecation patterns do not seem to be affected by ileocecal resection.
Related Concept Videos
01:21Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
02:25Centrosome Duplication
To ensure that each daughter cell receives a centrosome after cell division, centrosome duplication...
01:23Renewal of Intestinal Stem Cells
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:22Appendicitis-I: Introduction
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:30Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are: