Outcomes and satisfaction in pediatric patients with Chait cecostomy tubes

Bevill, Mark D.; Bonnett, Kristine; Arlen, Angela M.; Cooper, Christopher S.; Baxter, Cheryl; Storm, Douglas W.

doi:10.1016/j.jpurol.2017.04.008

Cited by 21 publications

(12 citation statements)

References 14 publications

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“…Another modification of the MACE is the utilization of a Chait® (Cook Medical LLC, IN, USA) cecostomy tube, or a "button" device, placed as either a percutaneous endoscopic cecostomy (PEC), under fluoroscopic guidance, or via laparoscopy. It has been proven significantly to improve fecal continence and QoL in patients with NBD 115 . The drawback of such tubes is that they must be replaced on a regular basis and sooner if they clog, detach, or break .…”

Section: Tube Cecostomymentioning

confidence: 99%

Overview On Neurogenic Bowel Dysfunction in Pediatrics

Fadl¹,

D²,

Bedair

et al. 2022

Int J Life Sci Pharm Res

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Neurogenic bowel dysfunction (NBD) is fecal incontinence or constipation which is prevalent in kids with both congenital and acquired neurological disorders. NBD results from loss of normal sensory or motor control and may include both the upper and the lower gastrointestinal (GI) tract Constipation and fecal incontinence are frequent symptoms of neurogenic bowel dysfunction (NBD), which makes it a challenging condition to treat. Also, they have a major impact on quality of life and dignity. Bowel dysfunction is less studied compared to neurogenic bladder, generally prevelant in spina bifida, but practically as prevalent in other neurological conditions. Generally, the objective of neurogenic bowel management is to achieve complete emptying of the rectum on a systematic basis. This may be accomplished through with a multidimensional approach containing of conservative, medical and even surgical approaches. A modified Delphi procedure was used to construct a statement document. This paper discusses the various causes of paediatric NBD. Our aim is to enhance clinical management, numerous therapeutic techniques are given. Due to both the improved survival rate and better diagnosis, there are more children and teenagers with NBD. The number of children and adolescents with NBD is growing as a result of better diagnosis and a greater survival rat NBD can cause either faecal incontinence or constipation, or both, with a fair amount of predictability. However, each patient will experience NBD in a different way depending on a variety of underlying conditions and coexisting conditions. Due to the status of the affected child and caregivers, management of NBD should be individualized using a combined multidisciplinary therapy.

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Section: Tube Cecostomymentioning

confidence: 99%

Overview On Neurogenic Bowel Dysfunction in Pediatrics

Fadl¹,

D²,

Bedair

et al. 2022

Int J Life Sci Pharm Res

View full text Add to dashboard Cite

show abstract

“…Another modification of the MACE is the utilization of a Chait ® (Cook Medical LLC, IN, USA) cecostomy tube, or a "button" device, placed as either a percutaneous endoscopic cecostomy (PEC), under fluoroscopic guidance, or via laparoscopy. It has been proven significantly to improve fecal continence and QoL in patients with NBD [166]. The disadvantage is that any such tube needs to be replaced at regular intervals, and sooner if it blocks, dislodges, or breaks.…”

Section: Tube Cecostomymentioning

confidence: 99%

Neurogenic Bowel Dysfunction in Children and Adolescents

Mosiello

Safder

Marshall

et al. 2021

JCM

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Neurogenic/neuropathic bowel dysfunction (NBD) is common in children who are affected by congenital and acquired neurological disease, and negatively impacts quality of life. In the past, NBD received less attention than neurogenic bladder, generally being considered only in spina bifida (the most common cause of pediatric NBD). Many methods of conservative and medical management of NBD are reported, including relatively recently Transanal Irrigation (TAI). Based on the literature and personal experience, an expert group (pediatric urologists/surgeons/gastroenterologists with specific experience in NBD) focused on NBD in children and adolescents. A statement document was created using a modified Delphi method. The range of causes of pediatric NBD are discussed in this paper. The various therapeutic approaches are presented to improve clinical management. The population of children and adolescents with NBD is increasing, due both to the higher survival rate and better diagnosis. While NBD is relatively predictable in producing either constipation or fecal incontinence, or both, its various effects on each patient will depend on a wide range of underlying causes and accompanying comorbidities. For this reason, management of NBD should be tailored individually with a combined multidisciplinary therapy appropriate for the status of the affected child and caregivers.

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“…However, in most patients, bowel cleansing once every 2 days will be sufficient to remain continent for stool in between the irrigations. A cecostomy‐button is gaining more and more popularity, especially in the USA as an alternative to an ACE stoma …”

Section: Operative Management Of Fecal Constipationmentioning

confidence: 99%

“…A cecostomy-button is gaining more and more popularity, especially in the USA as an alternative to an ACE stoma. 86 8 | SURGICAL PROCEDURES FOR TEMPORARY SOLUTIONS…”

Section: Of Fecal Constipationmentioning

confidence: 99%

EAU/ESPU guidelines on the management of neurogenic bladder in children and adolescent part II operative management

Stein

Bogaert

Doğan

et al. 2019

Neurourology and Urodynamics

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Background: Treatment in children and adolescents with a neurogenic bladder is primarily conservative with the goal of preserving the upper urinary tract combined with a good reservoir function of the bladder. However, sometimeseven in childhood-conservative management does not prevent the development of a low-compliant bladder or overactive detrusor. Material & Methods: After a systematic literature review covering the period 2000-2017, the ESPU/EUAU guideline for neurogenic bladder underwent an update.Results: In these patients, surgical interventions such as botulinum toxin A injections into the detrusor muscle, bladder augmentation, and even urinary diversion may become necessary to preserve the function of the upper (and lower) urinary tracts. The creation of a continent catheterizable channel should be offered to patients with difficulties performing transurethral clean intermittent catheterization. However, a revision rate of up to 50% needs to be considered. With increasing age continence of urine and stool becomes progressively more important. In patients with persistent weak bladder outlets, complete continence can be achieved only by surgical interventions creating a higher resistance/obstruction at the level of the bladder outlet with a success rate of up to 80%. In some patients, bladder neck closure and the creation of a continent catheterizable stoma is an option. Conclusion:In all these patients close follow-up is mandatory to detect surgical complications and metabolic consequences early. K E Y W O R D Sbladder augmentation, bladder neck reconstruction, EAU guideline, Mitrofanoff stoma, neurogenic bladder, sling procedure, urinary diversion

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Outcomes and satisfaction in pediatric patients with Chait cecostomy tubes

Cited by 21 publications

References 14 publications

Overview On Neurogenic Bowel Dysfunction in Pediatrics

Overview On Neurogenic Bowel Dysfunction in Pediatrics

Neurogenic Bowel Dysfunction in Children and Adolescents

EAU/ESPU guidelines on the management of neurogenic bladder in children and adolescent part II operative management

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