The Percutaneous Cecostomy Tube in the Management of Fecal Incontinence in Children

Khan, Waqas Ullah; Satkunasingham, Janakan; Moineddin, Rahim; Jamal, I.; Afzal, Samia; Chait, Peter; Parra, Dimitri A.; Amaral, João; Temple, Michael; Connolly, Bairbre

doi:10.1016/j.jvir.2014.10.015

Cited by 19 publications

(11 citation statements)

References 22 publications

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“…Some literature suggests the intravenous administration of a second-generation cephalosporin alone for antibiotic prophylaxis, while other reports suggest a triple antibiotic regimen consisting of intravenous ampicillin, metronidazole, and gentamicin. [55][56][57] Patients are maintained on a clear liquid diet for 24 to 48 hours prior to placement. 55,56 A bowel prep is then administered, consisting of bisacodyl (Dulcolax; Boehringer Ingelheim Pharmaceuticals, Inc, Ridgefield, CT) and Miralax (Bayer Corporation, Pittsburgh, PA).…”

Section: Preprocedures Assessmentmentioning

confidence: 99%

“…4,10,15,54,55,58,59,61 Outcomes Much of the early data on cecostomy catheter placement focuses on treating symptoms of chronic constipation and/ or fecal incontinence in the pediatric population, with some mention of these conditions in the adult population. [57][58][59]61,62 The research on percutaneous cecostomy used for decompression of bowel obstruction is relatively sparse, but promising.…”

Section: Techniquementioning

confidence: 99%

See 1 more Smart Citation

Bowel Obstruction: Decompressive Gastrostomies and Cecostomies

Miller

Mohan

Tartaglione

et al. 2017

Semin intervent Radiol

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Over the past 30 years, image-guided placement of gastrostomies and cecostomies for gastrointestinal decompression has developed into a safe and effective treatment for symptomatic bowel obstruction. Gastrostomies and cecostomies relieve patient symptoms, can prevent serious complications such as colonic perforation, and may bridge patients to more definitive treatment for the underlying cause of obstruction. This article will review the history of decompressive gastrostomies and cecostomies as well as the indications, contraindications, technique, complications, and outcomes of these procedures.

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Section: Preprocedures Assessmentmentioning

confidence: 99%

Section: Techniquementioning

confidence: 99%

Bowel Obstruction: Decompressive Gastrostomies and Cecostomies

Miller

Mohan

Tartaglione

et al. 2017

Semin intervent Radiol

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“…These tubes are mainly indicated in patients with neurological disorder with resultant fecal incontinence to facilitate cleansing enemas[70], in the assistance of bowel training in the pediatric population, neurogenic bowel due to any issue, chronic colonic pseudo obstruction and colonic obstruction[71]. The contraindications are similar to gastrostomy tube[72,73]. …”

Section: Cecostomy Tubesmentioning

confidence: 99%

Complementary roles of interventional radiology and therapeutic endoscopy in gastroenterology

Ray

Srinivasan

Tang

et al. 2017

WJR

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Acute upper and lower gastrointestinal bleeding, enteral feeding, cecostomy tubes and luminal strictures are some of the common reasons for gastroenterology service. While surgery was initially considered the main treatment modality, the advent of both therapeutic endoscopy and interventional radiology have resulted in the paradigm shift in the management of these conditions. In this paper, we discuss the patient’s work up, indications, and complementary roles of endoscopic and angiographic management in the settings of gastrointestinal bleeding, enteral feeding, cecostomy tube placement and luminal strictures. These conditions often require multidisciplinary approaches involving a team of interventional radiologists, gastroenterologists and surgeons. Further, the authors also aim to describe how the fields of interventional radiology and gastrointestinal endoscopy are overlapping and complementary in the management of these complex conditions.

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“…This overflow incontinence may negatively affect the lifestyle of patients in all age groups. It is associated with underlying etiologies such as spina bifida; complication of anal, rectal, or spinal surgery; paralysis after trauma; or tumor-related paralysis (1,2). Quality of life and mobility are severely affected by abdominal pain and distention and the need for readily accessible lavatory facilities.…”

mentioning

confidence: 99%

“…This approach allows patients to deliver osmotic agents to the right colon. There are multiple techniques for establishing the required conduit to deliver the osmotic agents to the right colon, including surgical (6)(7)(8), percutaneous endoscopic (9), percutaneous computed tomography (CT)-guided (10), and percutaneous fluoroscopic-guided techniques (2).…”

mentioning

confidence: 99%