Surgery of the ileocecal valve : a method of repairing an incompetent ileocecal valve and a method of constructing an artificial ileocolic valve / by J.H. Kellogg, M.D., LL.D., Battle Creek, Mich.

  • Kellogg, John Harvey, 1852-1943
Date:
[1913]
Catalogue details

Licence: In copyright

Credit: Surgery of the ileocecal valve : a method of repairing an incompetent ileocecal valve and a method of constructing an artificial ileocolic valve / by J.H. Kellogg, M.D., LL.D., Battle Creek, Mich. Source: Wellcome Collection.

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    SURGERY OF THE ILEOCECAL VALVE A Method of Repairing an Incompetent Ileo¬ cecal Valve and a Method op Construct¬ ing an Artificial Ileocolic Valve BY J. H. KELLOGG, M. D. Battle Creek, Mich. LL. D. Fellow of the Royal Society of Medicine (London), member American BriS, tl7R,T’ m7lber V'U France) 2Zer itish and American Associations for the Advancement of Science The ileocecal valve has been known to anatomists tor more than three hundred years, but its function has been so little appreciated that it has been al¬ most altogether neglected, and up to the present time its structure has been almost wholly ignored In surgeons in the operation of ileosigmoidostomy and other surgical procedures in which the small in¬ testine has been separated from its normal connec¬ tion with the cecum and joined to the colon at some other point. No attempt has been made to recon¬ struct the valve or to devise any means for pre¬ venting reflux of feces from the colon into the small intestine. The function of the ileocecal valve has evidently been regarded as of so little consequence that it might be ignored. In another paper the writer has undertaken to summarize the facts which have been developed in recent years respecting the functions of the ileo¬ cecal valve and the pathological effects which result from its absence or incompetency. These facts may be briefly summarized as follows: Bauhin, I ulpius, and other of the early anato¬ mists showed that the ileocecal valve is a most efficient mechanical contrivance for preventing re¬ flux of gas or liquid from the colon into the small intestine. John Mason Good observed that in ad¬ dition to its mechanical structure the ileocecal valve possesses also a muscular function capable of acting as a sphincter. Elliott demonstrated in 1904 that the valve behaves as a true sphincter in the dog,