Ragab Hani Donkol1, Ahmed Al-Nammi. 1. Ragab Hani Donkol, Department of Radiology, Faculty of Medicine, Cairo University, Egypt Aseer Central Hospital, PO Box 34, 31911, Abha, Saudi Arabia.
Abstract
AIM: To assess the effectiveness and safety of imaging-guided percutaneous cecostomy in the management of pediatric patients with organic fecal incontinence. METHODS: Twenty three cecostomies were performed on 21 children with organic fecal incontinence (13 males, 8 females), aged from 5 to 16 years (mean 9.5 years). Thirteen patients had neurogenic fecal incontinence and 8 patients had anorectal anomalies. Procedures were performed under general anesthesia and fluoroscopic guidance. Effectiveness and complication data were obtained for at least 1 year after the procedure. RESULTS: Cecostomy was successful in 20 patients (primary technical success rate 95%). Cecostomy failed in one patient due to tube breakage (secondary technical success rate 100%). The tubes were in situ for an average of 18 mo (range 12-23 mo). Eighteen patients (87%) expressed satisfaction with the procedures. Resolution of soiling was achieved in all patients with neurogenic fecal incontinence (100%) and in 5 of 8 patients with anorectal anomalies (62.5%). Eleven patients (52%) experienced minor problems. No major complications were noted. CONCLUSION: Percutaneous cecostomy improves the quality of life in children with organic fecal incontinence. A satisfactory outcome is more prevalent in patients with neurogenic fecal incontinence than anorectal anomalies.
AIM: To assess the effectiveness and safety of imaging-guided percutaneous cecostomy in the management of pediatric patients with organic fecal incontinence. METHODS: Twenty three cecostomies were performed on 21 children with organic fecal incontinence (13 males, 8 females), aged from 5 to 16 years (mean 9.5 years). Thirteen patients had neurogenic fecal incontinence and 8 patients had anorectal anomalies. Procedures were performed under general anesthesia and fluoroscopic guidance. Effectiveness and complication data were obtained for at least 1 year after the procedure. RESULTS: Cecostomy was successful in 20 patients (primary technical success rate 95%). Cecostomy failed in one patient due to tube breakage (secondary technical success rate 100%). The tubes were in situ for an average of 18 mo (range 12-23 mo). Eighteen patients (87%) expressed satisfaction with the procedures. Resolution of soiling was achieved in all patients with neurogenic fecal incontinence (100%) and in 5 of 8 patients with anorectal anomalies (62.5%). Eleven patients (52%) experienced minor problems. No major complications were noted. CONCLUSION: Percutaneous cecostomy improves the quality of life in children with organic fecal incontinence. A satisfactory outcome is more prevalent in patients with neurogenic fecal incontinence than anorectal anomalies.
Authors: Peter G Chait; Eran Shlomovitz; Bairbre L Connolly; Michael J Temple; Ricardo Restrepo; Joao G Amaral; Sergio Muraca; Helen F Richards; Sigmund H Ein Journal: Radiology Date: 2003-02-11 Impact factor: 11.105
Authors: Christopher M Byrne; Michael J Solomon; Jane M Young; Jenny Rex; Christine L Merlino Journal: Dis Colon Rectum Date: 2007-04 Impact factor: 4.585
Authors: S Vande Velde; S Van Biervliet; K Van Renterghem; E Van Laecke; P Hoebeke; M Van Winckel Journal: J Urol Date: 2007-10-22 Impact factor: 7.450
Authors: Sanjit O Tewari; George I Getrajdman; Elena N Petre; Constantinos T Sofocleous; Robert H Siegelbaum; Joseph P Erinjeri; Martin R Weiser; Raymond H Thornton Journal: J Vasc Interv Radiol Date: 2014-12-17 Impact factor: 3.682