Percutaneous endoscopic cecostomy: a case series.

Abstract

BACKGROUND:

There are few reports of percutaneous endoscopic cecostomy in adult patients.

METHODS:

All cases of acute colonic pseudo-obstruction (n = 2) and neurogenic bowel (n = 3) in adults in which percutaneous endoscopic cecostomy was performed were reviewed retrospectively.

OBSERVATIONS:

Percutaneous endoscopic cecostomy was a definitive treatment. In 1 of the 2 patients with acute colonic pseudo-obstruction, the percutaneous endoscopic cecostomy tube was clamped and subsequently removed 10 weeks after placement; in the other patient with acute colonic pseudo-obstruction, the percutaneous endoscopic cecostomy tube remains in place. In 2 of the 3 patients with neurogenic bowel, the percutaneous endoscopic cecostomy tube continues to function well; the third patient did well for 6 months and then died of underlying comorbid disease. There was no mortality or need for surgical intervention for any patient. Complications occurred in 2 patients; 1 developed transient fever and leukocytosis and 1 had self-limited bleeding during anticoagulation.

CONCLUSIONS:

Percutaneous endoscopic cecostomy is a safe and effective treatment for both acute colonic pseudo-obstruction and neurogenic bowel when aggressive albeit conservative treatment is unsuccessful.

• Authors: Jack I Ramage Jr, Todd H Baron
• Journal: Gastrointestinal endoscopy (Gastrointest Endosc) Vol. 57 Issue 6 Pg. 752-5 (May 2003) ISSN: 0016-5107 [Print] United States
• PMID: 12709715 (Publication Type: Case Reports, Journal Article)

Topics

• Acute Disease
• Adult
• Aged
• Cecostomy (methods)
• Colonic Pseudo-Obstruction (surgery)
• Endoscopy, Gastrointestinal
• Female
• Humans
• Intestinal Diseases (surgery)
• Male
• Middle Aged
• Retrospective Studies