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Percutaneous colonoscopic cecostomy for management of chronic constipation in children

M T Rivera1, S Kugathasan, W Berger

  • 1The Department of Pediatrics, The Medical College of Wisconsin, The Children's Hospital of Wisconsin, and Froedtert Memorial Lutheran Hospital, Milwaukee, Wisconsin 53226, USA.

Gastrointestinal Endoscopy
|February 15, 2001
PubMed

Insights

Percutaneous endoscopic cecostomy offers a safe and effective solution for children with chronic constipation, particularly those with spina bifida and anorectal anomalies, improving bowel management significantly.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Interventional Radiology

Background:

  • Chronic constipation and encopresis are prevalent in pediatric patients with spina bifida and anorectal anomalies.
  • Current treatments involve complex bowel management and antegrade continence enemas via surgically or radiologically placed stomas.

Purpose of the Study:

  • To describe a technique for percutaneous cecostomy placement.
  • To evaluate its efficacy in delivering continence enemas or for venting.

Main Methods:

  • A technique for percutaneous cecostomy placement is detailed.
  • The procedure was performed in 12 pediatric patients.

Main Results:

  • Percutaneous cecostomies were successfully placed in all 12 patients.
  • All patients experienced significant improvement in bowel management.

Conclusions:

  • Percutaneous endoscopic cecostomy is a safe and effective treatment option.
  • This minimally invasive approach addresses intractable constipation in pediatric patients.
Abstract

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