ArticlePediatric surgery international2026
Ileocecal valve preservation reduces parenteral nutrition duration and catheter-related bloodstream infections in pediatric short bowel syndrome: a retrospective cohort study.
Article in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveTo evaluate the clinical significance of the ileocecal valve (ICV) in pediatric short bowel syndrome (SBS) regarding parenteral nutrition (PN) dependence, nutritional status, and complications.
methodsA retrospective cohort study was conducted at Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, involving 140 pediatric SBS patients. Patients were divided into ICV-preserved (n = 80) and ICV-absent (n = 60) groups. Outcomes assessed included PN weaning success, PN duration, intestinal failure-associated liver disease (IFALD), catheter-related bloodstream infections (CRBSI), deficiencies in vitamin D and trace elements, and liver function parameters.
resultsCompared with the ICV-absent group, ICV-preserved patients had a higher PN weaning success rate (88.0% vs. 71.2%, p = 0.015), a shorter median PN duration (107 vs. 160 days, p = 0.004), and a lower incidence of CRBSI (37.3% vs. 64.4%, p = 0.002). No significant difference was observed in IFALD incidence (42.7% vs. 57.6%, p = 0.086). Among ICV-absent patients, preservation of > 50% of the colon was associated with improved PN weaning success (77.8% vs. 50.0%, p = 0.045). Initial stoma creation (vs. primary anastomosis) was associated with higher rates of IFALD (56.1% vs. 38.5%, p = 0.047) and CRBSI (57.3% vs. 36.5%, p = 0.019). Vitamin D deficiency was highly prevalent (86.5%) with no significant difference between groups.
conclusionICV preservation in pediatric SBS is associated with reduced PN dependence and lower CRBSI risk, underscoring its clinical importance.
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