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At least 55 records · Page 3Linked to original sources
PubMed1988

Transcolonoscopic extraperitoneal cecostomy. A new therapeutic and technical proposal.

The authors propose a new technique of decompression of the colon consisting in percutaneous cecostomy with previous extraperitonization of the cecum under colonoscopic orientation. The technique permits decompression of the entire colon through the insertion of a ceco-anal multiperforated Levine tube on withdrawing the colonoscope. It is a new therapeutic choice for the treatment of the Ogilvie syndrome, toxic megacolon and other morbid entities, which may permit the performance of the procedure and require decompression of the colon, which proved to be extremely effective in the treatment of a patient with the Ogilvie syndrome.

Aged↗
PubMed2000

Laparoscopic cecostomy for anterior ectopic anus with constipation: a new and technical proposal.

A female patient of 26 years of age with faecal incontinence is presented. The anal opening was anteriorly located just posterior to the vagina. This had resulted in overflow faecal incontinence due to severe chronic constipation. NMR showed a normal musculature of the pelvic floor and sphincter. Since the patient did not agree to surgery, laparoscopic cecostomy was performed for the first time for antegrade rinsing.

Adult↗
PubMed1990

Percutaneous cecostomy for Ogilvie syndrome: laboratory observations and clinical experience.

Percutaneous cecostomy (PCC) was evaluated in dogs and cadavers and by means of review of intraperitoneal contrast material-enhanced computed tomographic (CT) scans and clinical experience in five patients with Ogilvie syndrome. It was shown that PCC can be accomplished with a variety of techniques (e.g. Seldinger or trocar puncture, tacking) and instruments (various types and sizes of retention and nonretention catheters). Anatomic studies revealed that the cecum is surrounded by the peritoneum for as much as 270 degrees of its circumference, so that a retroperitoneal approach to PCC would probably be unfeasible in most patients. PCC was effective in treating all five patients in this study, despite their advanced age and complicated medical conditions. Decompression of colonic gas was achieved with 8-12-F catheters, and no major complications occurred. Endoscopic decompression had been unsuccessfully attempted in four of the patients previously. It is concluded that PCC may be an important option in the treatment of Ogilvie syndrome and that the procedure may obviate surgery and be lifesaving in certain high-risk patients.

Adult↗
PubMed1990

Percutaneous cecostomy: controlled transperitoneal approach.

The authors present two cases of percutaneous cecostomy performed with a modified approach previously described for percutaneous gastrostomy and cholecystostomy. T-fastener devices were used to affix the cecum to the anterior abdominal wall; thus, the potential problem of fecal spillage was prevented. In both cases, adequate fecal drainage was provided without complication.

Aged↗
PubMed2006

Anterograde colonic stent placement via a cecostomy tube site.

Colonic stents have been used as a method of relieving colonic obstruction since 1991. They are classically inserted in a retrograde fashion via the rectum and are deployed under a combination of endoscopic and fluoroscopic guidance. A unique case is presented where the colonic stent was passed in an anterograde fashion through a recently created cecostomy tube site as a method of palliation to relieve an obstructing hepatic flexure tumour.

Adenocarcinoma↗
PubMed2006

[Anesthetic managements of the patients receiving catheterizable cecostomy].

To improve the quality of life of patients suffering from spinal cord injury, "Catheterizable cecostomy" operation have recently been carried out. In the procedure, cathetelizable stoma is opened and patients are able to control the excretion by injecting enema solution through the stoma. Although operations are usually performed under general anesthesia with tracheal intubation, special considerations sometimes need to be taken for airway management. In such cases, we select spinal anesthesia. Because the surgery is achieved on a fixed charge, efficiency of pre-operative assessment should be done for the cost-cutting with shortening of perioperative period. Diseases including hypertension, diabetes mellitus, etc., must be controlled before admission to the hospital. With these considerations, proper pre-operative assessment can be made.

Adolescent↗
PubMed1988

Tube cecostomy using a wire wrapped endotracheal tube.

A modified technique of decompressing tube cecostomy for transverse and left colonic obstructions is presented, using a large (9 millimeter) wire wrapped endotracheal tube. In this limited experience with five patients, this technique has shown a low morbidity, decreased hospitalization time and has given good decompression in preparation for the definitive operation.

Aged↗
PubMed1975

Blowhold cecostomy for cecal decompression.

Blowhole cecostomy is a method for achieving decompression of the distended cecum. Emphasis is placed on a McBurney-type incision, a watertight suture line joining bowel to muscle, and avoidance of opening the cecum until the suturing is done.

Aged↗
PubMed1987

CT-guided percutaneous catheter cecostomy.

A patient with pseudomembranous colitis is described in whom a percutaneous cecostomy was performed using computed tomographic guidance. Several lines of evidence indicate the safety of this approach, and clinical circumstances are suggested in which the procedure may have potential therapeutic benefit.

Aged↗
PubMed1982

Complementary tube cecostomy in the management of strangulated right Richter's inguinal hernia of the cecum.

Strangulated right Richter's inguinal hernia of the cecum is relatively rare. A case of this unusual hernia was successfully managed with a wedge resection and closure of the infarcted bowel wall in conjunction with complementary tube cecostomy. The procedure is easy to perform and relatively safe and is therefore recommended for use in selected cases of Richter's hernia of the cecum.

Acute Disease↗
PubMedDate not supplied

Temporary ileal cecostomy.

Results obtained with temporary ileal cecostomy in 23 patients are reported. Particular attention is given to the incidence of anastomotic leakage, morbidity, mortality, hospitalization and nursing. The results achieved were successful and, although the series presented is small, the authors suggest that this technique should be further considered as an alternative to the more standard diversion techniques of colostomy in colonic resection, particularly where the integrity of the anastomosis is likely to be at risk, as in the anterior resection of the rectum and especially in lower anterior resection.

Cecum↗
PubMed1988

Endoscopic percutaneous cecostomy (EPC).

Endoscopic decompression of the distended colon has become a useful method of treating non-obstructive colonic ileus. We propose a method of establishing a cecal fistula by means of percutaneous puncture of the colon and pull-through of a Pezzer catheter. Although until now we have only performed this procedure twice, it seems to be a valuable therapeutic approach in cases of paralytic distension of the large bowel.

Aged↗