{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:21:57Z","timestamp":1740126117728,"version":"3.37.3"},"reference-count":23,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2017,8,2]],"date-time":"2017-08-02T00:00:00Z","timestamp":1501632000000},"content-version":"vor","delay-in-days":1,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The onset of symptoms after removal of the ileocaecal valve (<jats:styled-content style=\"fixed-case\">ICV<\/jats:styled-content>) may be perceived as an unwanted effect of surgery and induce patients to bring unnecessary litigation against surgeons. The aim of our study is to assess the real impact on the quality of life of patients whose <jats:styled-content style=\"fixed-case\">ICV<\/jats:styled-content> has been surgically removed, using three validated questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In patients who had their <jats:styled-content style=\"fixed-case\">ICV<\/jats:styled-content> removed surgically, the Gastrointestinal Quality of life (<jats:styled-content style=\"fixed-case\">GIQLI<\/jats:styled-content>) questionnaire and those used by the European Organization for research and Treatment of Cancer (<jats:styled-content style=\"fixed-case\">EORTC<\/jats:styled-content>) were administered before and after surgery. The empirical rule effect size method was used to evaluate the clinical significance of the statistical data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We interviewed 225 patients. Data collected through the three questionnaires highlighted a trend towards postoperative improvement of the selected gastrointestinal symptoms compared with the baseline. The <jats:styled-content style=\"fixed-case\">GIQLI<\/jats:styled-content> questionnaire showed a statistically significant improvement in \u2018pain\u2019, \u2018nausea\u2019 and \u2018constipation\u2019 during the follow\u2010up. Constipation appeared more frequently in patients older than 70\u00a0years compared with younger ones. The <jats:styled-content style=\"fixed-case\">EORTC<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">QLQ<\/jats:styled-content>\u2010C30 questionnaire showed a significant correlation between diarrhoea and extended right colectomy at 3\u00a0months after surgery, which was not confirmed at 6\u00a0months. The <jats:styled-content style=\"fixed-case\">EORTC QLQ<\/jats:styled-content>\u2010<jats:styled-content style=\"fixed-case\">CR<\/jats:styled-content>29 questionnaire showed a slight deterioration of \u2018leakage of stools from the anal opening\u2019 at 6\u00a0months after surgery, but this symptom was not deemed clinically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>We found that bowel functions in most patients after surgical removal of the <jats:styled-content style=\"fixed-case\">ICV<\/jats:styled-content> were satisfactory. Providing patients with a comprehensive and exhaustive informed consent during preoperative consultations could promote patient trust and avoid misunderstandings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.13778","type":"journal-article","created":{"date-parts":[[2017,6,16]],"date-time":"2017-06-16T17:36:38Z","timestamp":1497634598000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Ileocaecal valve syndrome after surgery in adult patients: myth or reality?"],"prefix":"10.1111","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4749-4258","authenticated-orcid":false,"given":"S.","family":"Palmisano","sequence":"first","affiliation":[{"name":"Department of Medical, Surgical and Health Sciences General Surgery Clinic University Hospital of Trieste Trieste 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