Cecostomy: Surgical construction of an opening into the CECUM with a tube through the ABDOMINAL WALL (tube cecostomy) or by skin level approach, in which the cecum is sewn to the surrounding PERITONEUM. Its primary purpose is decompression of colonic obstruction.Cecal Diseases: Pathological developments in the CECUM.Fecal Incontinence: Failure of voluntary control of the anal sphincters, with involuntary passage of feces and flatus.Enema: A solution or compound that is introduced into the RECTUM with the purpose of cleansing the COLON or for diagnostic procedures.Anal Canal: The terminal segment of the LARGE INTESTINE, beginning from the ampulla of the RECTUM and ending at the anus.Encyclopedias as Topic: Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)Colon, Ascending: The segment of LARGE INTESTINE between the CECUM and the TRANSVERSE COLON. It passes cephalad from the cecum to the caudal surface of the right lobe of the LIVER where it bends sharply to the left, forming the right colic flexure.Rectal Prolapse: Protrusion of the rectal mucous membrane through the anus. There are various degrees: incomplete with no displacement of the anal sphincter muscle; complete with displacement of the anal sphincter muscle; complete with no displacement of the anal sphincter muscle but with herniation of the bowel; and internal complete with rectosigmoid or upper rectum intussusception into the lower rectum.Therapeutic Irrigation: The washing of a body cavity or surface by flowing water or solution for therapy or diagnosis.
Ogilvie's syndrome treatment. (1/7)
INTRODUCTION: Ogilvie's Syndrome (OS) is a rare condition caused by parasympathetic dysfunction of large bowel characterized by acute and massive colon distension without mechanical obstruction. Rarely this disease has to be treated by the surgeon but operations may be indicated in case of medical treatment failure. METHODS: A retrospective analysis was carried out at the Emergency Surgery DPT of St Orsola-Malpighi University Hospital Bologna Italy. From 1995 to 2002 11 patients were treated for severe OS: they were 8 males and 3 females and the mean age was 68 yrs. All these subjects had large bowel distension with caecum diameter more than 8 cm without any evidence of mechanical obstruction. RESULTS: In 4 patients (36%) OS was caused by trauma or surgical procedures whereas in 7 cases (64%) was produced by other conditions. Only in 3 cases (27%) conservative treatment was successful; the remaining 8 patients were submitted to surgical therapy. 6 patients were submitted to decompressive caecostomy and in 2 cases a subtotal colectomy was done. Mortality was 36%. DISCUSSION AND CONCLUSIONS: Surgical treatment of OS is indicated when there is a conservative treatment failure. The high mortality is related to diagnostic and therapeutic delays, advanced age and comorbidities. (+info)Alleviating debilitating, chronic constipation with colostomy after appendicostomy: a case study. (2/7)
Severe chronic constipation is a debilitating condition. Patients not only experience infrequent bowel movements, but also are often frustrated by the sensation of incomplete evacuation; pain; straining; daily use of enemas; and continual concerns regarding diet, fluids, and medications. Diagnostic tests are performed to rule out organic causes of the condition. Common treatment options consist of dietary fiber supplementation, dietary instruction, adequate fluid intake, enemas, and laxatives; additional noninvasive management includes biofeedback training and botulinum toxin type A injections. Surgery is rarely recommended, although a select group of patients may benefit from antegrade continence enema procedure. A female patient presented with a history of long-standing constipation. When antegrade continence enema offered no improvement and other treatment measures failed, she underwent successful laparoscopic-assisted sigmoid resection and end colostomy. This approach may provide options for patients in similar circumstances. (+info)Anterograde colonic stent placement via a cecostomy tube site. (3/7)
Colonic stents have been used as a method of relieving colonic obstruction since 1991. They are classically inserted in a retrograde fashion via the rectum and are deployed under a combination of endoscopic and fluoroscopic guidance. A unique case is presented where the colonic stent was passed in an anterograde fashion through a recently created cecostomy tube site as a method of palliation to relieve an obstructing hepatic flexure tumour. (+info)Colonic pseudo-obstruction. (4/7)
Colonic pseudo-obstruction is often confused with mechanical intestinal obstruction. It occurs when there is an autonomic imbalance resulting in sympathetic over-activity affecting some part of the colon. The patient is often elderly with numerous comorbidities. Once mechanical obstruction is excluded by contrast enema, the patient should be treated conservatively with nasogastric and flatus tubes for at least 48 hours, and precipitating factors should be treated. When pseudo-obstruction does not settle with waitful watching, prokinetic agents and/or colonoscopic decompression can be tried. When there is a risk of impending perforation of the caecum from massive colonic dilatation and colonic ischaemia, it should be dealt with by caecostomy or hemicolectomy. In spite of available medical and surgical interventions, the outcome remains poor. (+info)Stomal adenocarcinoma in Crohn's disease. (5/7)
Malignant change occurring at the site of a stoma in two patients with proved Crohn's disease is described. Patients with ulcerative colitis have an increased risk of colonic malignancy and Crohn's disease is also associated with both small and large bowel carcinoma. Most previous reports of stomal carcinoma have been associated with ulcerative colitis although Crohn's disease seems to carry a greater risk of associated small bowel carcinomas. This is the first report of stomal carcinoma complicating Crohn's disease. Epithelial dysplasia is associated with gastrointestinal carcinomas in both ulcerative colitis and Crohn's disease and a dysplasia-carcinoma sequence has been suggested as the origin of these tumours. In both our patients with stomal adenocarcinoma, dysplasia was identified in adjacent tissues, which suggests a similar mechanism. Malignant change should be suspected if epithelial dysplasia is discovered in a biopsy specimen from the mucosa of an ileostomy in Crohn's disease, and this risk is increased if the dysplasia is of a high grade. (+info)Cecal infusion of nutrients improves nutritional status of rats. (6/7)
The role of colonic fermentation in providing energy was investigated in rats with small bowel transection (T) or 80% resection (SBR). Rats were randomized to receive for 12 d either saline (S) or the enteral solution (E) through a cecostomy to meet 30% of energy requirement; the rest (70%) was provided by parenteral nutrition. Although SBR-S rats lost weight significantly compared with d 1 of the study, SBR-E rats gained. Significantly greater carcass wet weight and fat were found in SBR-E and T-E rats compared with SBR-S and T-S rats. SBR-E and T-E rats had significantly greater colonic mucosal dry weight and protein compared with SBR-S and T-S rats. Cecal short-chain fatty acid (SCFA) contents were also significantly higher in SBR-E and T-E rats compared with SBR-S and T-S rats. There was no significant effect of surgery (T vs. SBR) on any of the variables studied. These results suggest that the products of fermentation of an enteral solution infused through a cecostomy contribute substantially to energy requirement, maintenance of body composition and nutritional status of rats. (+info)Effects of germinated barley foodstuff in preventing diarrhea and forming normal feces in ceco-colectomized rats. (7/7)
Germinated barley foodstuff (GBF) derived from the aleurone and scutellum fractions of germinated barley was rich in glutamine and low-lignified hemicellulose. The diarrhea caused by ceco-colectomy could be prevented by feeding GBF to rats. GBF could also increase the protein content and sucrase activity of small intestinal mucosa in this model. This diarrhea-preventive effect of GBF would be based on the water-holding capacity and bulging force under alkaline conditions, e.g. in the small intestine. (+info)
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Surgical management of fecal incontinence
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Constipation in Children
Constipation Quiz
Constipation QuizCecum9
- A cecostomy is a surgery that makes an opening in the cecum, which is part of the large intestine. (chw.org)
- For a cecostomy (see-KOSS-tuh-mee), a surgeon creates a hole (ostomy) in the skin of the belly that opens directly into the cecum, the first part of the colon. (kidshealth.org)
- From the cecostomy tube, the fluid passes into the cecum. (kidshealth.org)
- A cecostomy is an opening from the outside of the body on the abdomen to the cecum, the first part of the large intestine. (aboutkidshealth.ca)
- A cecostomy tube (C-tube) is placed through the abdomen into the cecum to help your child empty their bowel and decrease the incidence of fecal incontinence (soiling). (aboutkidshealth.ca)
- A cecostomy tube (C-tube) is a thin plastic tube that is placed in the cecum to help your child empty their bowel. (aboutkidshealth.ca)
- A surgical incision into the cecum with insertion of a drainage tube ( cecostomy ) may be done when intestinal intubation is not successful in relieving distention. (thefreedictionary.com)
- A third option is to place a tube into the cecum (cecostomy) through a small incision in the abdomen. (adventisthealthcare.com)
- Some may fix the cecum to the inside wall of the abdomen with stitches or by placing a tube through the abdominal wall and into the cecum (cecostomy). (eapsa.org)
Colonic2
- The influence of caecostomy and colonic irrigation on pathophysiology and prognosis in acute experimental pancreatitis. (thefreedictionary.com)
- When fluoroscopic guidance is used, it is appropriate to report the enteral access code 49450 ( Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report) established in 2008. (acr.org)
Percutaneous cecostomy3
- A percutaneous cecostomy tube is an alternative to a MACE. (wikipedia.org)
- Percutaneous cecostomy procedures, like MACEs, have been performed laparoscopically. (wikipedia.org)
- ATL>Controlled transperitoneal percutaneous cecostomy as a therapeutic alternative to the endoscopic decompression for Ogilvie’s syndrome. (ebscohost.com)
Fecal incontinence3
- Generally, fecal incontinence would have to be very severe and not responding to other treatments to require a cecostomy. (lifebridgehealth.org)
- Your child may need a cecostomy if he or she has fecal incontinence and other treatments have not worked. (ahealthyme.com)
- Putting the cecostomy tube in place is just the first step in easing fecal incontinence. (ahealthyme.com)
Appendectomy1
- Consequently, appendectomy and caecostomy were performed. (thefreedictionary.com)
Placement2
- Our objective is to demonstrate the successful use of robotics in creating an ileovesicostomy incontinent urinary diversion with a complete intra corporeal bowel anastomosis and cecostomy tube placement. (auanet.org)
- Li V. Risk of ventriculoperitoneal shunt infections after laparoscopic placement of Chait Trapdoor cecostomy catheters in children. (buffalo.edu)
Insertion3
- Doctors will usually use IV sedation (relaxed while awake for the procedure) or a general anesthesia (asleep for the procedure) for cecostomy tube insertion. (lifebridgehealth.org)
- We review the Japanese literature and emphasize the usefulness of this combination technique by blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in patients with HD in today's early definitive operation era. (springeropen.com)
- After the first 24 hours post-insertion, the cecostomy tube dressing must be changed daily and the skin around the C-tube must be washed with soap and water. (aboutkidshealth.ca)
Chait2
- The surgeon places a tube into the hole called a cecostomy tube, C-tube, or Chait tube. (kidshealth.org)
- Outcomes and satisfaction in pediatric patients with Chait cecostomy tubes. (uiowa.edu)
Continent2
- We perform continent cecostomies. (chw.org)
- The continent cecostomy procedures to allow antegrade enemas may be useful in some patients. (urologyweb.com)
Caecum1
- 1) These cases require added hospitalization, extra care for their caecostomy , and a second operation to re-place the caecum into the abdomen. (thefreedictionary.com)
Jejunostomy1
- Roux-en-Y construction can also be use for tube stomas (eg, feeding jejunostomy). (medscape.com)
Complications1
- Surgeons who favour resection usually present recurrence rates and local complications associated with caecostomy or caecopexy, while proponents of non-resectional approach advocate low mortality, less physiological insult and low recurrence rates. (thefreedictionary.com)
Bowel control1
- I have a 19 yo son that the Doctor is thinking about the possibility of a cecostomy to help with the bowel control issues. (circleofmoms.com)
Surgical1
- for this reason, the surgical procedure was indicated as a cecostomy. (scirp.org)
Appendiceal1
- Mobilization of the right hepatic flexure back to its anatomical site and a cecostomy was performed through the appendiceal stump. (who.int)
Temporary1
- The authors herein report a case of cecal perforation in a 3-day-old male neonate with HD who was successfully treated with a temporary tangential cecostomy on the perforated site and management with an indwelling transanal tube, which enabled stable postoperative care followed by a definitive operation at 1 month of age. (springeropen.com)
Patient's1
- A cecostomy tube was also placed robotically to manage the patient's neurogenic bowel. (auanet.org)
Perforation1
- We present a combination technique composed of tangential cecostomy at the perforated portion and postoperative care with a transanal indwelling tube, which was used in the treatment of a 3-day-old boy with cecal perforation with long-segment Hirschsprung's disease. (springeropen.com)
Permanent1
- There, specialists suggested he have a cecostomy, in which a permanent opening would be made in his abdomen. (childrens.com)
Risks2
- What are the risks of a cecostomy for a child? (ahealthyme.com)
- The pediatric surgeon will discuss the risks and benefits of an appendicostomy, cecostomy, and other options. (kidshealth.org)
DISEASE1
- Is tube caecostomy safe in the surgery of Hirschsprung's disease? (sun.ac.za)
Doctors1
- Please tell me can doctors put me under anesthesia if I'm getting my cecostomy tube changed? (healthtap.com)
Site1
- Your child needs a dressing covering the cecostomy site for two weeks. (aboutkidshealth.ca)
Patients2
- The cecostomy tube is esthetically appealing, comfortable, allows increased mobility, socially accepted and gives patients the ability for activities such as swimming without hesitation. (konez.com)
- Cecostomy was performed in both patients. (ovid.com)
Benefits1
- Benefits of a Cecostomy? (konez.com)
Insert1
- Your child will need to stay in the hospital for the procedure to insert the cecostomy tube. (lifebridgehealth.org)
Free1
- Cecostomies have remained patent and trouble-free for over 18 months. (elsevier.com)
