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Plastic Repair

MOHAMMED H. SALEM, M.B., B.Ch.; HARRY H. McGEE, M.D.

AMA Arch Surg. 1959;78(6):928-933.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Hypertrophy of the ileocecal valve, lipomatosis of the ileocecal region, and ileocecal syndrome are synonymous terms. On reviewing the literature, one is impressed with the comparative infrequency of clinical lipomatosis of the ileocecal valve, although an appreciable number of cases have been noted post mortem.^1,2

Comfort¹ reported an incidence of submucous lipomas of the gastrointestinal tract found at autopsy as varying from 0.06% to 0.6%. Seabrook's³ review of the literature revealed 12 cases, and he added 3 cases of his own. The purpose of the present paper is to discuss the anatomy, physiology, and symptomatology of the so-called ileocecal syndrome. A new technique for plastic repair of this hypertrophied valve is also presented.

Anatomy

Anatomically,^4,5 the ileocecal valve (Fig. 1) presents essentially a protrusion of the mucosa, submucosa, and circular muscles of the ileum into the lumen of the colon. It is composed of two folds, . . . [Full Text PDF of this Article]

Author Affiliations
Durham, N. C.

From the Department of Surgery and Radiology, Duke Medical Center.

Footnotes
Submitted for publication Nov. 10, 1958.

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