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Cecostomy                     Colonic Tube Placement

 Longview / Kelso , Washington             Orhan Konez, MD, Pediatric Interventional Radiologist

          

What is Cecostomy? A cecostomy is a catheter that is inserted into the cecum (first portion of the colon). Patients with fecal incontinence (or their caregiver) can use the cecostomy to administer a small-volume enema followed by a saline enema to quickly and completely evacuate and cleanse the large intestine, emptying through the anal opening. In this way, potentially embarrassing accidents are avoided, and the patient often gains greater independence and freedom to pursue activities previously prevented by fear of incontinent episodes.    

How is the procedure performed? This is a minimally invasive procedure involving insertion of a temporary cecostomy catheter (C-tube) into the patient's cecum using imaging guidance (picture#1 below). After the tract is formed (approximately 6 weeks later), the patient returns for a short, simple outpatient procedure to replace the temporary catheter with a tiny more permanent tube (2nd picture below).

      

Benefits of a Cecostomy? Antegrade colonic enema cecostomy technique is much more effective than other techniques, significantly improving resolution of incontinence, resulting in fewer accidents and many patients no longer wearing diapers. The cecostomy tube is esthetically appealing, comfortable, allows increased mobility, socially accepted and gives patients the ability for activities such as swimming without hesitation.

More on-line Information? Please visit http://cecostomy.com 

 

    Candidates for Cecostomy
  • Spina bifida
  • Imperforate anus
  • Myelomeningocele
  • Cloacal anomalies
  • Vater Syndrome
  • Sacral agenesis
  • Paraplegia
  • Klippel Feil Syndrome
 
       Alternative techniques
  • Diet modification
  • Laxatives
  • Manual expression   
  • Disimpaction
  • Bowel training
  • Biofeedback
  • Suppositories
  • Electrostimulation
  • Retrograde enemas

   
      Other Useful Sites

 

Consultation and Scheduling (360) 425-5131

 

Disclaimer: 

Information accessed through this web page is presented in summary form and such information is not complete and should not be used as a substitute for a consultation or visit with your physician or other health care provider. Information accessed through this website is not exhaustive and does not cover every aspect of the procedure, indications and potential risks. Dr. Konez makes no warranty as to the information's completeness, reliability or accuracy. Should you have any health care related questions regarding this matter, please see your physician or other health care provider promptly.

Linkler:
Vascular Birthmarks - Hemangiomas http://www.birthmarks.us
Breast Biopsy - BLES technique http://www.konez.com/breastbiopsy.htm
Cecostomy http://www.konez.com/image guided cecostomy.htm
Uterine Fibroid Embolization http://www.konez.com/ufe.htm
Central Access Catheters http://www.konez.com/vascular access.htm
Laser Ablation for Varicose veins http://www.konez.com/varicose vein center.htm
Varicocele Treatment with embolization http://www.konez.com/varicocele treatment.htm
Magnetic Resonance Imaging (textbook) http://www.konez.com

 

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