Abstract
Aim-Background
Percutaneous endoscopic colostomy/caecostomy (PEC) has recently been introduced as an alternative to surgery in selected patients for the treatment of various colonic disorders, including colonic pseudoobstruction, recurrent sigmoid volvulus or severe slow transit constipation.
Methods
We report our experience of five cases with colonic pseudo-obstruction managed with PEC to allow decompression of the colon and review the literature.
Results
The procedure was effective in relieving the symptoms in all patients and to date, surgical treatment has been avoided in all cases.
Conclusion
Percutaneous endoscopic colostomy/caecostomy is a safe and effective management option for selected patients with certain colonic disorders.
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References
Ponsky J, Aszodi A, Perse D. Percutaneous endoscopic cecostomy: a new approach to nonobstructive colonic dilation. Gastrointest Endosc 1986; 32:108–111
Baraza W, Brown S, McAlindon M, et al. Prospective analysis of percutaneous endoscopic colostomy at a tertiary referral centre. Br J Surg 2007; 94:1415–20
Ennis O, Feroz A, Stephenson B. Percutaneous endoscopic colostomy: An alternative treatment of acute colonic pseudoobstruction. Colorectal Dis 2001; 3:205–8
Thompson A, Pearson T, Ellul J, et al. Percutaneous endoscopic colostomy in patients with chronic intestinal pseudoobstruction. Gastrointest Endosc 2004; 59:113–5
Saunders M, Kimmney M. Systematic review: acute colonic pseudo-obstruction. Aliment Pharmacol Ther 2005; 22:917–25
Cowman S, Watson C, Elltringham M, et al. Percutaneous endoscopic colostomy of the left side of the colon. Gastrointst Endosc 2007; 65:1007–14
Lal K, Morgenstern R, Vinjiraeyer P, et al. Sigmoid volvulus an update. Gastrointest Endosc Clin N Am 2006; 16:175–87
Mullen R, Church N, Yalamarthi S. Volvulus of the sigmoid colon treated by percutaneous endoscopic colostomy. Surg Laparosc Endosc Percutan Tech 2009; 19:e64–e6
Al-Alawi IK. Percutaneous endoscopic colostomy: A new technique for the treatment of recurrent sigmoid volvulus. Saudi J Gastroenterol 2010; 16:120–2
National Institute for Health and Clinical Excellence. Percutaneous endoscopic colostomy: interventional procedure guidance (IPG 161), 2006
Sheers R, Chapman S. The buried bumper syndrome: a complication of percutaneous endoscopic gastrostomy. Gut 1998; 43:586
Heriot A, Tilney H, Simson J. The application of percutaneous endoscopic colostomy to the management of obstructed defecation. Dis Colon Rectum 2002; 45:700–2
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Koundouris, C., Thivaios, I., Chrysoulas, G. et al. Percutaneous endoscopic colostomy/caecostomy - A minimally invasive approach to certain colonic disorders: Report of five cases and review of the literature. Hellenic J Surg 88, 93–96 (2016). https://doi.org/10.1007/s13126-016-0293-y
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DOI: https://doi.org/10.1007/s13126-016-0293-y