Percutaneous endoscopic colostomy of the left side of the colon

Cowlam, S.; Watson, Christine; Elltringham, Mark; Bain, I. M.; Barrett, Paul; Green, Sue; Yiannakou, Yan

doi:10.1016/j.gie.2007.01.012

Cited by 58 publications

(86 citation statements)

References 24 publications

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“…For 90% of these children, the results were control of constipation and soiling [26,27]. In one report of six adults with neurologic constipation [28], PESCI was successful in symptom control, but the tubes were removed from five of these patients, mostly because of local complications, which were not a cause of failure in this current larger series.…”

Section: Discussionmentioning

confidence: 57%

Percutaneous endoscopic sigmoid colostomy for irrigation in the management of bowel dysfunction of adults with central neurologic disease

et al. 2011

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Section: Discussionmentioning

confidence: 57%

Percutaneous endoscopic sigmoid colostomy for irrigation in the management of bowel dysfunction of adults with central neurologic disease

et al. 2011

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“…A study of 27 patients undergoing PEC reported symptomatic improvement in 80% of subjects undergoing the procedure. 74 …”

Section: Antegrade Continence Enemamentioning

confidence: 99%

Evaluation and Treatment of Neurogenic Bowel Dysfunction – A Review

Kumar¹,

Athanasakos²,

Emmanuel³

2016

European Neurological Review

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Neurogenic bowel dysfunction is a severely troubling entity for patients with neurological disease or injury. The complex symptom cluster presents a challenge, not only for the patients but also for the treating clinician. Without intervention, patients are bound to have a reduced quality of life, and experience social impacts and secondary complications that come along with it. A careful initial assessment provides an idea of symptom severity and is crucial for successful rehabilitation. The mainstay of treatment remains a conservative approach of managing faecal incontinence or optimising the mechanics of defecation to improve patient’s quality of life. This article attempts to provide a comprehensive review of existing literature on pathophysiology, assessment and management of neurogenic bowel dysfunction.

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“…Percutaneous endoscopic colostomy (PEC) is considered a minimally invasive endoscopic procedure that has been used as an alternative modality to surgery in poor surgical candidates who have recurrent sigmoid volvulus, recurrent colonic pseudo-obstruction, neurogenic bowel or severe slow-transit constipation [76,[92][93][94].…”

Section: Percutaneous Endoscopic Colostomymentioning

confidence: 99%

“…The complications of PEC that has been reported are fecal peritonitis (8.5%), fecal leakage, recurrent infections (77%), buried internal bolster, abdominal wall bleeding and pain [92][93][94]. All-cause mortality has been reported as high as 26% reflecting the often frail patients who undergo PEC [92][93][94].…”

Section: Percutaneous Endoscopic Colostomymentioning

confidence: 99%