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[Diagnosis and treatment of ceco-ileal reflux in children]
Insights
Cecoileal reflux in young children may stem from immaturity. Surgical intervention, specifically appendectomy with purse-string sutures, effectively treated severe reflux in older children, improving outcomes.
Area of Science:
- Pediatric surgery
- Gastroenterology
Background:
- Cecoileal reflux is observed in children, potentially linked to developmental immaturity in those under 5.
- Diagnosis in older children with persistent pain requires irrigography to assess reflux severity.
Observation:
- A study included 111 patients with passive reflux.
- Fifty-one patients with Degree 2 and 3 reflux underwent surgical treatment.
Findings:
- Appendectomy was performed using a purse-string suture technique.
- This technique facilitated tightening of the frenuli, leading to effective intervention.
Implications:
- The surgical approach demonstrated effectiveness in managing severe cecoileal reflux.
- Late results verified the positive impact of the appendectomy with purse-string suture intervention.
Abstract:
A cecoileal reflux detected in children under the age of 5 years may be related to the manifestations of relative immaturity. In older children experiencing continuous pain, irrigography must be performed to verify the diagnosis and the degree of the reflux. In a group of 111 patients, 51 with Degree 2 and 3 passive reflux underwent operation. Appendectomy was performed in which the purse-string suture created conditions for tightening the frenuli, which explains the effectiveness of interventions verified by late results.