Image-guided Cecostomy Procedure - Pediatric Interventional Radiology

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Cecostomy Colonic Tube Placement

Portland, Oregon 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

Vascular Birthmarks

Central Cath & Port Placement

Cleveland Vein Center

Uterine Fibroid Embolization

Interventional Radiology?

Consultation and Scheduling (503) 731 - 2900

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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