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Percutaneous cecostomy: a new technique in the management of fecal incontinence
B Shandling1, P G Chait, H F Richards
1Department of Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.
Journal of Pediatric Surgery
|April 1, 1996
Insights
A pilot study found that percutaneous cecostomy tubes are effective for colonic irrigations in children with fecal incontinence. This minimally invasive technique is recommended for select patients requiring bowel management.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Surgery
Background:
- Fecal incontinence in children poses significant challenges.
- Current treatment options may be invasive or have limited efficacy for some patients.
Purpose of the Study:
- To evaluate the feasibility and outcomes of percutaneous cecostomy tube placement.
- To assess the efficacy of colonic irrigations via cecostomy for managing pediatric fecal incontinence.
Main Methods:
- A pilot study involving the percutaneous introduction of cecostomy tubes.
- Utilized the tubes for performing colonic irrigations in pediatric patients.
- Monitored patient outcomes and procedural success.
Main Results:
- The study demonstrated good outcomes in the treated children.
- The percutaneous cecostomy technique was successfully implemented.
- Patients showed improvement in fecal incontinence management.
Conclusions:
- Percutaneous cecostomy tube introduction is a viable option for pediatric fecal incontinence.
- The technique is recommended for specific patient populations needing effective bowel management.
- This approach offers a minimally invasive solution for colonic irrigation.
Abstract:
A pilot study on the percutaneous introduction of a cecostomy tube for colonic irrigations in the treatment of children with fecal incontinence is described. The results were good, and the technique is recommended for certain patients.