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Published on: July 12, 2018
Percutaneous endoscopic colostomy: a useful technique when surgery is not an option
Gloria Tun1, Dominic Bullas1, Ayman Bannaga1
1Department of Gastroenterology and Endoscopy, Barnsley Hospital NHS Foundation Trust, South Yorkshire, UK.
Percutaneous endoscopic colostomy (PEC) provides a minimally invasive option for high-risk patients with sigmoid volvulus or intestinal pseudo-obstruction. This endoscopic procedure serves as a decompression channel and aids colonic fixation, though complication risks necessitate informed consent.
Area of Science:
- Gastroenterology and Endoscopy
- Minimally Invasive Surgery
Background:
- High-risk patients with sigmoid volvulus or intestinal pseudo-obstruction often lack surgical options.
- Conventional treatments may fail or be contraindicated in these patients.
Purpose of the Study:
- To describe percutaneous endoscopic colostomy (PEC) as an alternative treatment.
- To highlight the role of PEC in decompression and colonic fixation.
Main Methods:
- Percutaneous endoscopic colostomy (PEC) procedure.
- Endoscopic intervention for colonic decompression and fixation.
Main Results:
- PEC offers a minimally invasive endoscopic approach.
- The procedure functions as an irrigation/decompression channel.
- PEC facilitates colonic fixation to the abdominal wall.
Conclusions:
- Percutaneous endoscopic colostomy (PEC) is a viable option for select high-risk patients.
- Informed consent is crucial due to potential complications associated with PEC.
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