Iwanaka T, Hashizume K, Kawarasaki H, Tanaka K, Kanamori Y, Utsuki T, Obana K, Uno K, Sugiyama M, Tsuchida Y
Department of Pediatric Surgery, University of Tokyo, Japan.
J Pediatr Surg. 1993 Jan;28(1):110-2. doi: 10.1016/s0022-3468(05)80367-7.
From 1977 to 1983 ileocecal resection was done in five neonates and three infants who were admitted to our pediatric surgical units. Their growth, hematology, and serum biochemistry were examined and compared with that of an ileal resection group without ileocecal resection. The body weight and height of all patients of the ileocecal resection group were within normal ranges. All patients undergoing ileocecal resection in neonates had moderate diarrhea but condition of fecal evacuation improved after age 6. None of the control ileal resection group had diarrhea since age 2. No significant differences were noted in hematology and serum biochemistry (protein metabolism, lipid metabolism, bile acid, and vitamin B12) data between the ileocecal resection groups and the control group. Our findings show that after ileocecal resection without extensive ileal resection in neonates and infants, adequate nutritional status can be maintained.
1977年至1983年期间，我们儿科手术科室收治了5名新生儿和3名婴儿，对其进行了回盲部切除术。对他们的生长情况、血液学指标和血清生化指标进行了检查，并与未进行回盲部切除术的回肠切除术组进行了比较。回盲部切除术组所有患者的体重和身高均在正常范围内。所有接受回盲部切除术的新生儿都有中度腹泻，但6岁后粪便排出情况有所改善。对照组回肠切除术组自2岁起均无腹泻。回盲部切除术组与对照组在血液学和血清生化指标（蛋白质代谢、脂质代谢、胆汁酸和维生素B12）数据方面未发现显著差异。我们的研究结果表明，在新生儿和婴儿中进行回盲部切除术后，若未进行广泛的回肠切除术，可维持足够的营养状态。
