Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Jun 1;40(1):145.
doi: 10.1007/s00383-024-05699-9.

Ileocecal valve-preservation ileocecostomy (IVPI) in infants with extremely short distal ileum after primary stoma

Wei Wang  1 , Jing Zhang  2 , Gang Liu  3 , Jianying Cao  3 , Jinbao Han  1 , Huawei Xie  3 , Liuming Huang  4
Affiliations

Ileocecal valve-preservation ileocecostomy (IVPI) in infants with extremely short distal ileum after primary stoma

Wei Wang et al. Pediatr Surg Int. .

Abstract

Purpose: Preserving the ileocecal valve (ICV) has shown significant benefits. We present our experience with 18 infants who underwent ileocecal valve-preservation ileocecostomy (IVPI) with an extremely short distal ileum after primary ileostomy.

Methods: A retrospective analysis was conducted on IVPI cases between 2014 and 2020. Medical records were reviewed, including birth weight, age, primary diseases, length of ileus stump, surgical time and procedure, time to enteral feeding, postoperative hospital stay, and complications.

Results: Eighteen patients (male: female = 12:6, median birth weight 1305 (750-4000) g, median gestational age 29 + 5 (27 + 6-39 + 6) weeks) were included in the analysis. Causes of surgery included necrotizing enterocolitis (13), ileocecal intestinal atresia (1), ileum volvulus (2), meconium peritonitis (1), and secondary intestinal fistula (1). The median corrected age of ileostomy closure was 3.2 months (2.0-8.0 months). The distance from the distal ileal stoma to the ICV ranged from 0.5 to 2 cm. The median length of the residual bowel was 90 cm (50-130 cm). ICV-plasty was performed in 3 cases due to secondary ICV occlusion or stenosis. All patients resumed feeding within 6 to 11 days after surgery. The postoperative hospital stay ranged from 12 to 108 days (median: 16.5 days). Complications included incisional infections in 2 cases, anastomotic stricture and adhesive ileus in 1 case, nosocomial sepsis and septic shock in 1 case. All children showed normal growth and development during a 6-65 month follow-up.

Conclusions: IVPI is safe and feasible for infants with an extremely short distal ileal stump. ICV-plasty could be applicable for cases with ileocecal occlusion/stenosis.

Keywords: Anastomosis; Ileocecal valve; Infants.

PubMed Disclaimer

Similar articles

See all similar articles

References

    1. Coletta R, Morabito A (2019) Non-transplant surgical management of short bowel syndrome in children: an overview. Curr Pediatr Rev 15:106–110. https://doi.org/10.2174/1573396315666181129164112 - DOI - PubMed
    1. Till H, Castellani C, Moissl-Eichinger C et al (2015) Disruptions of the intestinal microbiome in necrotizing enterocolitis, short bowel syndrome, and Hirschsprung’s associated enterocolitis. Front Microbiol 6:1154. https://doi.org/10.3389/fmicb.2015.01154 - DOI - PubMed - PMC
    1. Federici S, De Biagi L (2019) Long term outcome of infants with NEC. Curr Pediatr Rev 15:111–114. https://doi.org/10.2174/1573396315666181130144925 - DOI - PubMed
    1. Rodríguez MM, Guillén G, López-Fernández S et al (2022) Anastomosis near to the ileocecal valve in neonates with focal intestinal perforation, is it safe. J Maternal Fetal Neonatal Med 35:7011–7014. https://doi.org/10.1080/14767058.2021.1934444 - DOI
    1. Jiang WW, Xu XQ, Geng QM et al (2012) Enteroenteroanastomosis near adjacent ileocecal valve in infants. World J Gastroenterol 18:7314–7318. https://doi.org/10.3748/wjg.v18.i48.7314 - DOI - PubMed - PMC

LinkOut - more resources