Percutaneous Cecostomy for Management of Fecal Incontinence in Pediatric Patients

Percutaneous cecostomy in the management of organic fecal incontinence in children

“…On the other hand, resolution of continuous soiling was achieved in 5 of 8 patients with anorectal anomalies (62.5%). This result is lower than that of Sierre et al [20] in which 90% of their 20 patients (18 of them had anorectal anomalies) reported satisfaction with the procedure. However, our results are similar to other studies that noted there is great variation in postsurgical functional outcomes of cecostomy in the management of patients with anorectal malformations [3,21,22] .…”

Safety and Efficacy of Percutaneous Cecostomy/Colostomy for Treatment of Large Bowel Obstruction in Adults with Cancer

“…Currently, treatment strategies are varied and include endoscopic, surgical, and interventional radiologic therapies (1)(2)(3)(4). Percutaneous cecostomy/ colostomy (PC) has been used as an alternative to open or laparoscopic surgical cecostomy for management of adult bowel obstruction (5-7) and pediatric constipation/ fecal incontinence (8,9). Established indications of PC include acute colonic pseudoobstruction (ACPO), distal colonic obstruction, cecal volvulus, impending perforation, and preanastomotic decompression (10), the clinical rationale being decompression of the colon to prevent colonic perforation.…”

The Percutaneous Cecostomy Tube in the Management of Fecal Incontinence in Children

“…The percutaneous cecostomy is effectively used in the management of the majority of patients and overcomes many problems experienced with a surgically performed appendicostomy (2)(3)(4)(5)(6)(13)(14)(15)(16). Since 1994, evolution in terms of techniques, devices, and medical management ( Table 2) demonstrate the learning curve inevitable with a new procedure (2)(3)(4)15).…”

“…Although 30% of patients experienced early problems and 84% experienced late problems, this may represent an overcall, as all symptoms reported by the patient or caregiver(s) were included. Most early (139 of 149; 93%) and late (1,092 of 1,114; 98%) problems were minor tube, site, irrigation regimen, or bowel management problems that did not require medical intervention (2,3,5,6,15,16).…”