I had a right hemicolectomy 6 years ago with removal of the appendix, gallbladder and ileocecal valve with 4.5 cm of the ileum. I have not had any bowel problems as a result. The first few months I had several bms a day, no problem with diarrhea and for the last 5 years, usually just one a day, without any urgency and can eat all foods without a problem.
I disagree with your physician's statement - the ileocecal valve does not control the flow of fecal matter. When the intestinal contents pass through the valve at that stage it is liquified. The large intestine is responsible for the resorption of water into the body and that controls the formation of formed stool. This can be affected by food allergies, dumping syndrome (too fast transit time from injestion to ejection), spoiled food, certain medications (e.g. diabetes meds). The muscles around the anus control the ability to hold stool until you can reach a bathroom. The comment that without this valve toxins can build up and back up probably came from one of those "alternative medicine" websites similar to those that claim many pounds of fecal matter are plastered like glue on the intestinal walls necessitating many enemas of whatever brand the site is selling, which you as does anyone who has every had a colonoscopy know is a blatent lie. As far as toxins building and backing up and making one sick - peristaltic waves keep the intestinal contents flowing in the right direction so there is no backing up.
Hey Jazz -
I had my IC Valve removed about 1 yr ago. Long story short, I was in a major car accident 11/11/08 that should had taken my life I am told. I sustained many internal injuries, the worst being a rupture to my aortic artery which a stent was placed to stop the bleeding. In addition to the rupture, my pancreas leaked enzymes that ate at my cecum. The doctors felt they had to do what they do best, start removing body parts. They removed my spleen as well as my cecum and IC Valve. Well, I spent 1 yr in and out of the hospital for bowel leaks, fistulas, ileostomy takedown and hernia repair. My last surgery was October 9, 09. Although my IC Valve was removed in November of 2008, I had at least 80% formed stool 90% of the time. It was tolerable and not urgent most the time. Now 1 month after my last bowel repair, jeesh, it's so much worse now. The Docs are telling me that my Flora (good bacteria) needs to be replenished. OK, no problem, that can be accomplished with a little time. But then they go on to say I will have to be on meds and a strict diet for the remainder of my life to keep the diarrhea and BMS under control. I like to say that I have a pretty good diet already, so... And the meds don't sound like a good idea with all their side effects, especially the octreotide shot they gave me. I said all that to say that it is good to hear someone with a positive outcome after their IC Valve was removed, that is encouraging. I just hope my outcome is as good as yours and not like so many of the discouraging stories I have heard. For now I will be patient and eat lots of yogurt and probiotics as well as this fiber I read about called Citrucel. Maybe this will get me back on track. If you or anyone has information to what is really going on when missing your IC Valve and what to do to stabilize the bowel to get the diarrhea under control, please post your comments.