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Outcomes and satisfaction in pediatric patients with Chait cecostomy tubes

Mark D Bevill1, Kristine Bonnett1, Angela Arlen1

  • 1University of Iowa Hospitals and Clinics, Department of Urology, Iowa City, IA, USA.

Journal of Pediatric Urology
|May 27, 2017
PubMed

Insights

The Chait cecostomy tube significantly improves constipation management and fecal continence in children with spinal dysraphisms. Patients reported higher satisfaction and improved quality of life with the cecostomy tube compared to conventional methods.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Urology

Background:

  • Spinal dysraphisms frequently cause fecal incontinence and constipation.
  • Antegrade continence enemas are a common treatment.
  • Outcomes and satisfaction with Chait cecostomy tubes in children are not well-documented.

Purpose of the Study:

  • To evaluate the effectiveness of Chait cecostomy tubes in managing constipation in children with spinal dysraphisms.
  • To assess patient and family satisfaction with the Chait cecostomy tube.

Main Methods:

  • A questionnaire-based study involving pediatric patients with neurogenic bowels.
  • Two groups: those with a Chait cecostomy tube (CT) and those without (NCT).
  • Assessed demographics, bowel continence, and satisfaction using Likert scale and nonrated questions.

Main Results:

  • Chait cecostomy tube patients reported significantly higher effectiveness in constipation management (p < 0.001).
  • In the CT group, 48% achieved complete/near complete continence, 40% had partial incontinence, and 12% remained incontinent.
  • 88% of CT patients were satisfied, and 92% would have the procedure again, reporting improved hygiene, independence, and social confidence.

Conclusions:

  • Chait cecostomy tubes significantly improve constipation management, fecal continence, and quality of life in pediatric patients with neurogenic bowels.
  • The Chait cecostomy tube is a well-tolerated and effective treatment option.
  • Complications included granulation tissue (60%) and pain with irrigation (24%).
Abstract

Keywords:
Antegrade enemaCecostomyNeurogenic bowelPediatrics

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