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June 1959

Hypertrophy of Ileocecal Valve: Plastic Repair

Author Affiliations

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

AMA Arch Surg. 1959;78(6):928-933. doi:10.1001/archsurg.1959.04320060116016

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,

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