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Manometric Evaluation of an Artificial Intestinal Valve

Manometric Evaluation of an Artificial Intestinal Valve Abstract • A new type of intestinal valve was constructed by telescoping the proximal portion of the intestine into the distal portion. The length of telescoped intestine was expressed in relation to its diameter. Various lengths of intestine were tested in 29 dogs. Valvular function was evaluated under pentobarbital sodium anesthesia, with open-tip catheters perfused at a rate of 5μI to 6μI/sec. An intestinal valve, made by telescoping two diameter lengths of the intestine, yielded the most similar results manometrically to those of the ileocolonic junction. Mean isoperistaltic and antiperistaltic pressures were measured to be 25.0 ± 2.0 and 39.0 ± 3.8 cm H2O in the valve, and 20.4 ± 2.2 and 39.7 ± 5.1 cm H2O in the ileocolonic junction. No alteration of the valvular function was found in the long-term follow-up study. (.2 < P <.5). (Arch Surg 111:578-581, 1976) References 1. Chen K: Massive resection of the small intestine . Surgery 65:931-938, 1969. 2. Wilmore DW: Factors correlating with a successful outcome following extensive intestinal resection in newborn infants . J Pediatr 80:88-95, 1972.Crossref 3. Singleton AO, Redmond DC, McMurray JE, et al: Ileocecal resection and small bowel transit and absorption . Ann Surg 159:690-694, 1964.Crossref 4. Reid IS: The significance of the ileocecal valve in massive resection of the gut in puppies . J Pediatr Surg 10:507-510, 1975.Crossref 5. Glassman JA: An artificial ileocecal valve . Surg Gynecol Obstet 74:92-96, 1942. 6. Schiller WR, DiDio LJA, Anderson MC: Production of artificial sphincters: Ablation of the longitudinal layer of the intestine . Arch Surg 95:436-442, 1967.Crossref 7. Ackroyd FW, Giles G, McDermott WV: Ileal mucosal valve to prevent reflux at the ileorectal anastomosis in the colon exclusion operation for hepatic encephalopathy . Surg Forum 20:356-357, 1969. 8. Waddell WR, Kern F Jr, Halgrimson CG, et al: A simple jejunocolic "valve": For relief of rapid transit and the short bowel syndrome . Arch Surg 100:438-444, 1970.Crossref 9. Richardson JD, Griffen WO: Ileocecal valve substitutes as bacteriologic barriers . Am J Surg 123:149-153, 1972.Crossref 10. Hidalgo F, Cortes ML, Salas SJ, et al: Intestinal muscular layer ablation in short-bowel syndrome . Arch Surg 106:188-190, 1973.Crossref 11. Satomura K, Zheng H, Onishi S, et al: Follow-up study of the endorectal pull-through operation for the treatment of Hirschsprung's disease, with special reference to intestinal anastomosis . Surgery 76:581-586, 1974. 12. Peterson LW, Cole WH: Use of the defunctionalized loop of jejunum in biliary and pancreatic surgery . Arch Surg 56:445-458, 1948.Crossref 13. Basso DE: The efficacy and applicability of an intussuscepted conical valve in preventing regurgitation and leakage of intestinal contents . Ann Surg 133:477-485, 1951.Crossref 14. King SA: Quality of life: The continent ileostomy . Ann Surg 182:29-32, 1975.Crossref 15. Kock NG: Intra-abdominal "reservoir" in patients with permanent ileostomy: Preliminary observations on a procedure resulting in fecal "continence" in five ileostomy patients . Arch Surg 99:223-231, 1969.Crossref 16. Stahlgren LH, Roy RH, Umana G: A mechanical impediment to intestinal flow: Physiological effects on intestinal absorption . JAMA 187:41-44, 1964.Crossref 17. Tobik D, Lukasiewics S, Starzewski J: An attempt at forming an effective gastroesophageal mucosal valve . Surgery 77:225-230, 1975. 18. Cohen S, Harris LD, Levitan R: Manometric characteristics of the human ileocecal junctional zone . Gastroenterology 54:72-75, 1968. 19. Kelly ML, Gordon EA, Deweese JS: Pressure studies of the ileocolonic junctional zone of dogs . Am J Physiol 209:333-339, 1965. 20. Deller DJ, Wangel AG: Intestinal motility in man: I. A study combining the use of intraluminal pressure recording and cineradiography . Gastroenterology 48:45-57, 1965. 21. Rendleman DF, Anthony JE, Davis C, et al: Reflux pressure studies on the ileocecal valve of dogs and humans . Surgery 44:640-643, 1958. 22. Fink WJ, Olson JD: The massive bowel resection syndrome: Treatment with reversed segments . Arch Surg 94:700-706, 1967.Crossref 23. Gibson LD, Carter R, Hinshaw OB: Segmental reversal of small intestine after massive bowel resection: Successful case with follow-up examination . JAMA 182:952-954, 1962.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Manometric Evaluation of an Artificial Intestinal Valve

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Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1976.01360230078015
Publisher site
See Article on Publisher Site

Abstract

Abstract • A new type of intestinal valve was constructed by telescoping the proximal portion of the intestine into the distal portion. The length of telescoped intestine was expressed in relation to its diameter. Various lengths of intestine were tested in 29 dogs. Valvular function was evaluated under pentobarbital sodium anesthesia, with open-tip catheters perfused at a rate of 5μI to 6μI/sec. An intestinal valve, made by telescoping two diameter lengths of the intestine, yielded the most similar results manometrically to those of the ileocolonic junction. Mean isoperistaltic and antiperistaltic pressures were measured to be 25.0 ± 2.0 and 39.0 ± 3.8 cm H2O in the valve, and 20.4 ± 2.2 and 39.7 ± 5.1 cm H2O in the ileocolonic junction. No alteration of the valvular function was found in the long-term follow-up study. (.2 < P <.5). (Arch Surg 111:578-581, 1976) References 1. Chen K: Massive resection of the small intestine . Surgery 65:931-938, 1969. 2. Wilmore DW: Factors correlating with a successful outcome following extensive intestinal resection in newborn infants . J Pediatr 80:88-95, 1972.Crossref 3. Singleton AO, Redmond DC, McMurray JE, et al: Ileocecal resection and small bowel transit and absorption . Ann Surg 159:690-694, 1964.Crossref 4. Reid IS: The significance of the ileocecal valve in massive resection of the gut in puppies . J Pediatr Surg 10:507-510, 1975.Crossref 5. Glassman JA: An artificial ileocecal valve . Surg Gynecol Obstet 74:92-96, 1942. 6. Schiller WR, DiDio LJA, Anderson MC: Production of artificial sphincters: Ablation of the longitudinal layer of the intestine . Arch Surg 95:436-442, 1967.Crossref 7. Ackroyd FW, Giles G, McDermott WV: Ileal mucosal valve to prevent reflux at the ileorectal anastomosis in the colon exclusion operation for hepatic encephalopathy . Surg Forum 20:356-357, 1969. 8. Waddell WR, Kern F Jr, Halgrimson CG, et al: A simple jejunocolic "valve": For relief of rapid transit and the short bowel syndrome . Arch Surg 100:438-444, 1970.Crossref 9. Richardson JD, Griffen WO: Ileocecal valve substitutes as bacteriologic barriers . Am J Surg 123:149-153, 1972.Crossref 10. Hidalgo F, Cortes ML, Salas SJ, et al: Intestinal muscular layer ablation in short-bowel syndrome . Arch Surg 106:188-190, 1973.Crossref 11. Satomura K, Zheng H, Onishi S, et al: Follow-up study of the endorectal pull-through operation for the treatment of Hirschsprung's disease, with special reference to intestinal anastomosis . Surgery 76:581-586, 1974. 12. Peterson LW, Cole WH: Use of the defunctionalized loop of jejunum in biliary and pancreatic surgery . Arch Surg 56:445-458, 1948.Crossref 13. Basso DE: The efficacy and applicability of an intussuscepted conical valve in preventing regurgitation and leakage of intestinal contents . Ann Surg 133:477-485, 1951.Crossref 14. King SA: Quality of life: The continent ileostomy . Ann Surg 182:29-32, 1975.Crossref 15. Kock NG: Intra-abdominal "reservoir" in patients with permanent ileostomy: Preliminary observations on a procedure resulting in fecal "continence" in five ileostomy patients . Arch Surg 99:223-231, 1969.Crossref 16. Stahlgren LH, Roy RH, Umana G: A mechanical impediment to intestinal flow: Physiological effects on intestinal absorption . JAMA 187:41-44, 1964.Crossref 17. Tobik D, Lukasiewics S, Starzewski J: An attempt at forming an effective gastroesophageal mucosal valve . Surgery 77:225-230, 1975. 18. Cohen S, Harris LD, Levitan R: Manometric characteristics of the human ileocecal junctional zone . Gastroenterology 54:72-75, 1968. 19. Kelly ML, Gordon EA, Deweese JS: Pressure studies of the ileocolonic junctional zone of dogs . Am J Physiol 209:333-339, 1965. 20. Deller DJ, Wangel AG: Intestinal motility in man: I. A study combining the use of intraluminal pressure recording and cineradiography . Gastroenterology 48:45-57, 1965. 21. Rendleman DF, Anthony JE, Davis C, et al: Reflux pressure studies on the ileocecal valve of dogs and humans . Surgery 44:640-643, 1958. 22. Fink WJ, Olson JD: The massive bowel resection syndrome: Treatment with reversed segments . Arch Surg 94:700-706, 1967.Crossref 23. Gibson LD, Carter R, Hinshaw OB: Segmental reversal of small intestine after massive bowel resection: Successful case with follow-up examination . JAMA 182:952-954, 1962.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: May 1, 1976

References