Related Experiment Video

Updated: Sep 27, 2026

Cecal Ligation Puncture Procedure
11:53

Cecal Ligation Puncture Procedure

Published on: May 7, 2011

Percutaneous cecostomy: updates in technique and patient care

Peter G Chait1, Eran Shlomovitz, Bairbre L Connolly

  • 1Department of Diagnostic Imaging, Centre for Image Guided Therapy, Hospital for Sick Children, 555 University Ave, Toronto, Ontario, Canada M5G 1X8. peter.chait@sickkids.ca

Radiology
|February 26, 2003
PubMed

Insights

Percutaneous cecostomy is a safe and effective treatment for fecal incontinence in pediatric patients. This procedure significantly reduces soiling accidents and improves patient satisfaction, offering a better alternative to previous bowel management methods.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Bowel Management

Background:

  • Fecal incontinence significantly impacts quality of life in children with underlying conditions like spina bifida and imperforate anus.
  • Traditional bowel management strategies can be invasive and less effective for severe cases.
  • Percutaneous cecostomy offers a minimally invasive approach for targeted bowel cleansing.

Purpose of the Study:

  • To evaluate the 7-year experience with percutaneous cecostomy.
  • To assess the long-term outcomes and patient satisfaction with the procedure.
  • To determine the safety and efficacy of percutaneous cecostomy for fecal incontinence.

Main Methods:

  • A retrospective review of 163 percutaneous cecostomy procedures performed between 1994 and the study period.
  • Patients aged 2-23 years with conditions including spina bifida and imperforate anus.
  • Follow-up data obtained through interviews assessing enema technique, satisfaction, and complications.

Main Results:

  • Successful tube placement in all patients.
  • 89% of patients experienced a significant reduction in soiling accidents.
  • 94% of patients preferred cecostomy over previous bowel management; high satisfaction reported.

Conclusions:

  • Percutaneous cecostomy is a safe and effective treatment for fecal incontinence in pediatric patients.
  • The procedure leads to substantial improvements in bowel control and patient quality of life.
  • Complications are generally minor and manageable, with no procedure-related mortality.
Abstract

More Related Videos

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion06:23

Laparoscopic-Assisted Seldinger Technique for Peritoneal Dialysis Catheter Insertion

Published on: May 23, 2025

Related Concept Videos

Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
Suctioning the Nasopharyngeal Airway01:29

Suctioning the Nasopharyngeal Airway

Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
Equipment Required
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...