An experimental model of a submucosally tunnelled valve for the replacement of the ileo-cecal valve

Itzhak Vinograd, Paul Merguerian, Raphael Udassin, Paul Mogle, Shemuel Nissan

Research output: Contribution to journalArticlepeer-review

Abstract

An enteric valve to prevent colonic content reflux and to prolong small bowel transit time was created by passing small bowel through a submucosal tunnel in the colon. Barium enema, GI tract series, and iso- and antiperistaltic pressure measurements showed the valve to be of competence equal to the ileo-cecal valve. Late pathological examination revealed a patent valve with minimal scar formation. The optimal submucosal tunnel length was between 4 and 6 cm. This valve can, theoretically, increase the absorptive capacity in short bowel syndrome and may serve as a substitute for the critically important ileo-cecal valve.

Original languageEnglish
Pages (from-to)726-731
Number of pages6
JournalJournal of Pediatric Surgery
Volume19
Issue number6
DOIs
StatePublished - Dec 1984

Keywords

  • Ileo-cecal valve
  • massive bowel resection
  • short bowel syndrome

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