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Related Experiment Video

Updated: Jun 27, 2025

Cecal Ligation Puncture Procedure
11:53

Cecal Ligation Puncture Procedure

Published on: May 7, 2011

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Percutaneous cecostomy: 25-year two institution experience.

Charles A James1, Mark J Hogan2, Ryan P Seay2

  • 1Department of Radiology, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, Slot 105, 1 Children's Way, Little Rock, 72202, AR, USA. JamesCharlesA@uams.edu.

Pediatric Radiology
|May 1, 2024
PubMed
Summary

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This summary is machine-generated.

Percutaneous cecostomy is a technically successful procedure for children, offering durable access for managing bowel issues. Severe adverse events like bowel leakage and VP shunt infection are rare, ensuring patient safety.

Area of Science:

  • Pediatric surgery
  • Gastroenterology
  • Interventional radiology

Background:

  • Limited data exists on the technical success, adverse events, and long-term outcomes of percutaneous cecostomy in pediatric patients.
  • Percutaneous cecostomy is a minimally invasive procedure used for antegrade colonic enemas in children with complex bowel management needs.

Purpose of the Study:

  • To evaluate the technical success rate of percutaneous cecostomy.
  • To assess the incidence of severe adverse events within 30 days post-procedure.
  • To characterize the long-term outcomes and complications associated with percutaneous cecostomy in children.

Main Methods:

  • A retrospective review was conducted of 215 percutaneous cecostomy procedures performed in 208 pediatric patients across two institutions from May 1997 to August 2011.
Keywords:
ConstipationFecal incontinencePediatric interventional radiologyPercutaneous cecostomy

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  • Outcomes included technical success, 30-day severe adverse events, surgical repair rates, shunt infections, ongoing flush requirements, tube removal, and mortality.
  • Long-term follow-up extended through May 2022.

    • Main Results:

    • Technical success was achieved in 98.1% of procedures, with no significant difference between the two centers.
    • Severe adverse events were uncommon: 5.1% required surgical repair for bowel leakage and 2.1% experienced VP shunt infection.
    • Patients with neurogenic bowel had a higher rate of long-term tube retention (65.3%) and ongoing flushes (42.2%) compared to those with functional constipation.

    Conclusions:

    • Percutaneous cecostomy demonstrates high technical success and provides durable access for pediatric patients requiring bowel management.
    • The procedure is associated with a low incidence of severe adverse events, including bowel leakage and VP shunt infection.
    • Long-term outcomes indicate the procedure's efficacy, particularly for neurogenic bowel management, though ongoing care is often necessary.