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Techniques in Coloproctology

, Volume 20, Issue 6, pp 413–413 | Cite as

The insertion of a percutaneous endoscopic sigmoidostomy tube

  • V. CubasEmail author
  • O. Adedeji
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  • 768 Downloads

Keywords

Treatment Option Recurrence Rate Constipation Colorectal Surgery Alternative Treatment 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

We present a video demonstration of insertion of a percutaneous endoscopic sigmoidostomy tube and a brief overview of possible problems and aftercare.

The main indications are recurrent sigmoid volvulus and chronic pseudo-obstruction. It may also be used for chronic constipation to administer enemas.

It is a safe procedure with minimal morbidity for commonly encountered problems often necessitating repeat hospitalisation.

Percutaneous endoscopic sigmoidostomy offers an alternative treatment for patients who have tried conventional treatment options without success. Traditional treatment options for sigmoid volvulus and pseudo-obstruction comprise endoscopic decompression and/or open resection. However, these management options have varying success with endoscopic decompression having a recurrence rate of approximately 40 %, and open resection may be contraindicated for frail, elderly patients or the severely immunocompromised.

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

Formal ethical approval application not required for this video presentation.

Informed consent

Written informed consent was acquired for the making of this educational video.

Supplementary material

Supplementary material 1 (MOV 108595kb)

Copyright information

© Springer-Verlag Italia Srl 2016

Authors and Affiliations

  1. 1.University Hospital BirminghamBirminghamUK

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