Percutaneous endoscopic cecostomy for antegrade colonic irrigation in fecally incontinent children

F. De Peppo, B. D. Iacobelli, M. De Gennaro, M. Colajacomo, M. Rivosecchi

Research output: Contribution to journalArticle

Abstract

The Malone surgical procedure for antegrade continence enema (ACE) greatly improves the quality of life of many patients with fecal incontinence but has several complications. This report describes a technique of percutaneous endoscopic cecostomy (PEC) which was applied in three children with fecal incontinence secondary to anorectal malformation or spina bifida. Using a pediatric fiberscope, a colonoscopy was done which reached the right colon. An intraoperative ultrasound examination confirmed the position of the cecum just below the layers of the abdominal wall. The cecostomy tube was then percutaneously inserted, imitating the steps of percutaneous endoscopic gastrostomy (PEG) using the pull technique. The preliminary results are very encouraging: there are no procedure-related complications in this small series; all the patients are able to carry out the antegrade enema by themselves; and complete control of defecation has been obtained.

Original languageEnglish
Pages (from-to)501-503
Number of pages3
JournalEndoscopy
Volume31
Issue number6
DOIs
Publication statusPublished - 1999

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ASJC Scopus subject areas

  • Medicine (miscellaneous)

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