Cecostomy revisited

Abstract

The necessity of a cecostomy in the management of large-bowel obstruction continues to be debated. Recent reviews have tended to discredit or disregard this therapeutic method in favor of the colostomy. Past criticism has focused on three central issues. First, local stomal care is difficult. Second, satisfactory bowel preparation cannot be accomplished. Third, a high incidence of surgical closure of the cecostomy is reported. In light of this continuous controversy, a retrospective review of tube cecostomies was conducted to assess the indications, morbidity, and success or failure associated with this treatment modality.

Percutaneous colonoscopic cecostomy for management of chronic constipation in children

“…Complications of surgical cecostomy or appendicostomy include stomal stenosis, stoma leakage, difficulty in intubating the stoma, and appendiceal necrosis. [13][14][15] Shandling et al 4,5 simplified the delivery of the ACE by inserting a percutaneous cecostomy under fluoroscopic guidance. After bowel cleansing, the location of the viscera is identified by US.…”