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Enteroenteroanastomosis near adjacent ileocecal valve in infants

Enteroenteroanastomosis near adjacent ileocecal valve in infants

作     者:Wei-Wei Jiang Xiao-Qun Xu Qi-Ming Geng Jie Zhang Huan Chen Xiao-Feng Lv Chang-Gui Lu Wei-Bing Tang 

作者机构:Department of Pediatric SurgeryNanjing Children's Hospital Affiliated to Nanjing Medical University 

出 版 物:《World Journal of Gastroenterology》 (世界胃肠病学杂志(英文版))

年 卷 期:2012年第18卷第48期

页      面:7314-7318页

核心收录:

学科分类:1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

基  金:Supported by National Natural Science Foundation of China,No. 81100318 a grant from Nanjing Medical University,No. 2010NJMU118 

主  题:Ileocecal valve Ileoileostomy Infants 

摘      要:AIM:To investigate the feasibility and the effectiveness of ileoileostomy in the region adjacent to the ileocecal valve,which can retain the ileocecal valve in ***:This is a retrospective review of 48 patients who underwent ileoileostomy in the region adjacent to the ileocecal valve(group 1) and 34 patients who underwent ileocecal resections and ileotransversanastomosis(group 2).Patients were monitored for the time to flatus,resumption of eating,length of hospital stay after surgery,serum total bile acid,vitamin B12 and postoperative ***:The time to flatus,time until resumption of eating and post-operative length of hospital stay showed no statistically significant differences between the two *** total bile acid and vitamin B12were not significantly different between the two groups at post-operative day 1 and day 3,but were significantly decreased at 1 wk after operation in group *** of the patients died or suffered from stomal leak in these two ***,the incidence of diarrhea,intestinal infection,disturbance of acid-base balance and water-electrolytes in group 1 was lower than in group ***:Ileoileostomy in the region adjacent to the ileocecal valve is safe and results in fewer complications than ileotransversanastomosis in infants.

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