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Cecostomy. Therapeutic indications and results
1Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, Minnesota 55905, USA.
Diseases of the Colon and Rectum
|May 1, 1995
Summary
Catheter tube cecostomy effectively decompress the colon for conditions like pseudo-obstruction and volvulus. While complications occur, they are generally minor and do not require reoperation, making it a valuable procedure.
Area of Science:
- Gastroenterology
- Surgical Procedures
- Colorectal Surgery
Background:
- The efficacy of catheter tube cecostomy for colonic decompression is not well-established.
- Clinical indications, performance, and complications require further clarification.
Purpose of the Study:
- To define the clinical indications for tube cecostomy.
- To evaluate its functional performance.
- To assess associated morbidity.
Main Methods:
- Retrospective chart review of patients undergoing tube cecostomy.
- Study conducted at Mayo Clinic over an 11-year period.
Main Results:
- Sixty-seven patients underwent tube cecostomy for various indications including pseudo-obstruction, distal obstruction, and perforation.
- 45% of patients experienced minor complications (e.g., leak, infection, dislodgement).
- No reoperations were needed for tube-related issues.
Conclusions:
- Tube cecostomy is therapeutically valuable for specific conditions like refractory pseudo-obstruction, cecal volvulus, perforation, or distal obstruction.
- Careful patient selection, placement, and postoperative care are crucial.
- Adequate function can be achieved with minimal morbidity.