Transcecostomal colonic stent placement after US-guided percutaneous cecostomy

Nishiwaki, Shinji; Hatakeyama, Hiroo; Takada, Jun; Watanabe, Naoki; Iwashiwa, Masahide; Araki, Hiroshi; Saito, Koshiro

doi:10.1016/j.gie.2009.10.008

Cited by 7 publications

(10 citation statements)

References 18 publications

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“…(a) Procedural technique : The main technique used for performing PEC was endoscopy ( n = 17), 12 , 15 , 16 , 18 , 19 , 21 , 23 , 24 , 27 , 28 , 30 , 31 , 33 , 35 – 38 followed by fluoroscopy- ( n = 7), 20 , 22 , 25 , 26 , 32 , 41 CT- ( n = 3), 11 , 13 , 25 laparoscopy- ( n = 2), 14 , 17 and US-guided 22 , 39 procedures. The procedure was successful in a total 153 patients (93.86%) included in this review.…”

Section: Resultsmentioning

confidence: 99%

“…(b) Choice of the procedure : Among the studies, 17 included an explanation regarding the rationale of selecting the method of choice for the placement of PEC. The stated reasons are limited colonoscopy, 14 dolichocolon, 36 specific indication to deliver a therapeutic agent (fecal microbiota transplantation), 23 ineligibility for surgery, 19 , 20 , 25 – 27 , 31 , 33 , 39 multiple prior colonic decompressions and the subsequent choice to proceed with colonoscopy and PEC, 18 , 21 , 24 , 26 , 31 interposition between the stomach and transverse colon, 20 , 37 inability to decompress the colon by colonoscopy and subsequent choice to proceed with fluoroscopy 29 or abdominal CT scan with fluoroscopic PEC insertion, 25 patient refusal to undergo surgical cecostomy, 27 and a new diagnosis of colon cancer. 39 …”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Therapeutic utility of percutaneous cecostomy in adults: an updated systematic review

Khayyat

2022

Clin Med Insights Gastroenterol

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Objective: Percutaneous cecostomy is a minimally invasive procedure that provides access to the colon for therapeutic interventions. This review aimed to update and summarize the existing information on the use and application of percutaneous endoscopic cecostomy in the field of therapeutic gastroenterology. Data Sources: A systematic review of the literature was performed without any restrictions on the year of publication from the date of inception in 1986 to January 2021. Methods: The review was performed using the medical subject heading keywords in the following search engines: MEDLINE, EMBASE, Cochrane, and Google Scholar. Results: A total of 29 articles were subjected to final data extraction. The review included a total of 174 patients who underwent percutaneous cecostomy. Most of the included studies were conducted in the United States ( n = 14). The most common comorbidity was cancer ( n = 10) and the major indication for performing percutaneous cecostomy was colonic pseudo-obstruction or Ogilvie’s syndrome ( n = 15). The main technique for performing percutaneous cecostomy was endoscopy (17 studies), followed by fluoroscopy- (five studies), computed-tomography- (three studies), laparoscopy- (two studies), and ultrasound- (one study) guided procedures. The procedure was technically successful in 153 (88%) cases. The total cumulative rates of major and minor complications were 47.5%. These complications included tube malfunction, local wound site infections, and bleeding and rare complications of peritonitis and death. Conclusion: Percutaneous cecostomy is a safe and effective option for managing acute colonic pseudo-obstruction. It leads to durable symptom relief with low to minimal risk.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Therapeutic utility of percutaneous cecostomy in adults: an updated systematic review

Khayyat

2022

Clin Med Insights Gastroenterol

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“…Endoscopic caecostomy is minimally invasive and has several advantages including direct visualisation (which minimises risk of tube misplacement), the patient is not exposed to ionising radiation, and sedation may be used (which may be preferable to general anaesthetic in patients with significant comorbidities and high surgical risk) [ 4 ]. Percutaneous caecostomy is typically performed under CT, fluoroscopic, or less commonly ultrasound guidance [ 5 , 6 ]. A Seldinger technique is generally used with caecostomy catheter sizes ranging from 10 to 20 French [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Percutaneous caecostomy is typically performed under CT, fluoroscopic, or less commonly ultrasound guidance [ 5 , 6 ]. A Seldinger technique is generally used with caecostomy catheter sizes ranging from 10 to 20 French [ 6 ]. To our knowledge, no case reports of emergency percutaneous needle decompression of the caecum have been described.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation

Limmer

Clement

2017

Case Reports in Surgery

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Caecal perforation is a life-threatening complication of large bowel obstruction with a reported mortality of 34% to 72%. This case describes the novel use of percutaneous needle caecostomy as a life-saving measure to prevent imminent caecal perforation in a 68-year-old lady with large bowel obstruction secondary to an incarcerated incisional hernia. After careful review of computed tomography images and measurement of distances from the abdominal wall to the caecum, the patient's caecum was decompressed in the emergency department using a needle under local anaesthetic. The patient subsequently underwent laparoscopic hernia repair and had an uncomplicated recovery. When conducted safely and with precision in an appropriate patient, percutaneous needle caecostomy can provide immediate symptom relief, reduce risk of caecal perforation, and allow a laparoscopic surgical approach.

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“…(4) Administer cefoperazone intramuscularly or IV for 3 days as aprophylactic antibiotic. 32 Tube cecostomy has reported success rates of up to 100% when required. 9,[33][34][35] However, surgically placed tube cecostomy has a reported morbidity and mortality of 50 and 19%, respectively.…”

Section: Tube Cecostomymentioning

confidence: 99%

Acute Colonic Pseudoobstruction

Chudzinski

Thompson

Ayscue

2015

Clinics in Colon and Rectal Surgery

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Acute colonic pseudoobstruction (ACPO), often referred to as Ogilvie syndrome, is a clinical entity characterized by severe colonic distension (adult acute megacolon) in the absence of mechanical obstruction. It can result in abdominal ischemia and perforation if left untreated. This article discusses the epidemiology and current pathophysiologic theories of ACPO as well as the clinical presentation and diagnostic modalities utilized to identify the disease. In addition, this article describes the current treatment options for ACPO, which range from conservative medical therapy, therapeutic endoscopy, to subtotal colectomy.

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Transcecostomal colonic stent placement after US-guided percutaneous cecostomy

Cited by 7 publications

References 18 publications

Therapeutic utility of percutaneous cecostomy in adults: an updated systematic review

Therapeutic utility of percutaneous cecostomy in adults: an updated systematic review

Percutaneous Emergency Needle Caecostomy for Prevention of Caecal Perforation

Acute Colonic Pseudoobstruction

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