Prospective analysis of percutaneous endoscopic colostomy at a tertiary referral centre

Baraza, Wal; Brown, Steven R.; McAlindon, Mark E.; Hurlstone, Paul

doi:10.1002/bjs.5858

Cited by 59 publications

(105 citation statements)

References 15 publications

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“…It is a safe procedure with mortality rates of 1% -3% 7 , but with a recurrence rate between 3.3% and 60%. Percutaneous endoscopic colostomy is another modality of treatment for patients, if surgical intervention is not possible 8 . The differential of sigmoid volvulus includes ileosigmoid knotting (ISK), which is an emergency.…”

Section: Discussionmentioning

confidence: 99%

Parkinson’s Disease with Sigmoid Volvulus

Ansari¹,

Hasan²

2013

IJCRM

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PARKINSON's disease is a disorder of somatic motor activity, due to degenerative changes in the basal ganglia. It is a chronic and progressive disorder. Chronic constipation and loss of intestinal tone is the visceral outcome of this disease. These gut manifestations tend to be further aggravated by the drugs used to decrease the somatic muscular rigidity and tremor. The outcome sometimes turns into sigmoid volvulus. The exact etiology of sigmoid volvulus in Parkinson's disease (PD) remains unclear. Early recognition and treatment of constipation in PD patients may alter complications like sigmoid volvulus. Treatment of sigmoid volvulus in PD patients ranges from endoscopic detorsion to sigmoid colectomy with colostomy.. Herein, we describe an elderly patient with Parkinson's disease who presented with sigmoid volvulus and underwent colectomy and colostomy.

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Section: Discussionmentioning

confidence: 99%

Parkinson’s Disease with Sigmoid Volvulus

Ansari¹,

Hasan²

2013

IJCRM

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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%

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Complications of Colonoscopy

Waye

Aisenberg

Rubin

2013

Practical Colonoscopy

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“…This disorder can be extremely difficult to manage, and it also is difficult to characterize. Both constipation and incontinence frequently coexist, and patients often need laxatives to ensure evacuation, but this frequently leads to incontinence.Percutaneous endoscopic colostomy (PEC) is a minimally invasive procedure approved by the National Institute for Health and Clinical Excellence [2] for fixation in recurrent sigmoid volvulus [3], for antegrade irrigation in defecatory disorders [4], and for venting in colonic pseudo-obstruction [5,6]. This study prospectively assessed the functional results and safety of percutaneous endoscopic sigmoid colostomy for irrigation (PESCI) in the management of intractable bowel dysfunction for selected adult patients with severe central neurologic disease whose conservative measures have failed.…”

mentioning

confidence: 99%