Ileo cecal valve

[jaimasand]

While i have been tackling and struggling to cope up wih RUQ pains and spasms before and after cholecystomy .

I was subjected to small bowel enema ,and the analysis gives filling defect in ileocecal valve due to fat deposition/hypertrophy .I have had appendectomy 20 yrs back .

Unfortunately the docs never investigated small bowels and operated me for gall bladder even though that time
my HIDA scan gave 90% ejection fraction .Now on surgery they said bile sludge and adhesions around .

I get these spasms even during bowel movements in morning/evening .

I have a strong mind vs gut nexus for many years .

Now they may subject me to capsule endoscopy .

What are potential problems one can face with filling defect in ileo cecal valve ?

[boron]

You had vit B12 deficiency? This occur in inflammation of terminal ileum (last part of small intestine berfore ileo-cecal valve). You mentioned capsule endoscopy. This may bring an answer about what is happening in your ileum.

[jaimasand]

Hi ,

I am 40 and was operated in 1984 for appendectomy.

Currently i am not loosing weight ,but i feel weak and tired .
I took some B12 shots recently and felt more energetic .
In fact 15 days back i also had a colonoscopy done ,which i believe goes right upto
ileum cecal valve isn't it .That didn't show anything .

Wow ,,,,,,,,,,,,,,,,,,great to receive an objective answer .

I pray it should not be cancer ,and if it is then ...........................i have to live like
louis armstrong and many others ................will have to fight it out !

[boron]

Filling deffect in ileocecal area may be anything: polyp (benign adenoma), cancer (how old are you?), pseudopolyp (in inflammation like Crohn's disease), I'm not sure about fat deposition, BUT, the only way to find the real nature of that mass is COLONOSCOPY with biopsy.

RUQ pains after gallbladder removal mostly originate from biliary tree (sludge, stone, biliary dyskinesia or sphincter of Oddi disfunction. The best non-invasive investigation is MRCP, invasive one is ERCP (during upper endoscopy) with additional tests like sphincter manometry. Removal of the stone, dilating of the bile duct and such may be performed during ERCP, if necessary.

Strong mind-gut nexus? It speraks again for bile duct motility problem, well, can you do something about the "stress"?