Question
Based on the physician’s advice, a child underwent lower gastrointestinal contrast imaging and enema examination. The results showed that the ileocecal colon was long and twisted, and the defecation function was poor. How should this situation be handled?
Answer
If the ileocecal colon is congenitally overly long, protruding (protruding), and forms an acute angle with the rectum, it may lead to gradual excessive peristalsis in the ileocecal colon, which could cause fatigue damage over time. If the ileocecal pouch disappears, it can be preliminarily determined that its peristaltic function has been lost. Mild patients can perform chest-knee exercises regularly to enhance mesenteric tension, reduce angulation, and facilitate defecation. Severe patients may require partial resection surgery. The coiling of the ileocecal colon can be confirmed through X-ray defecation imaging and barium enema. The degree of coiling varies; the more coiling, the greater the resistance to defecation, and the more difficult defecation becomes.