Percutaneous cecostomy: 25-year two institution experience

Background Reports of technical success, adverse events, and long-term outcome of percutaneous cecostomy in children are limited. Objective To characterize technical success, 30-day severe adverse events, and long-term outcome of percutaneous cecostomy at two centers. Materials and methods A retrosp...

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Bibliographic Details
Published in:Pediatric radiology 2024-06, Vol.54 (7), p.1137-1143
Main Authors: James, Charles A., Hogan, Mark J., Seay, Ryan P., James, Luke T., Jensen, Hanna K., Kaukis, Nicholas A., Moore, Mary B., Braswell, Leah E.
Format: Article
Language:English
Subjects:
Adolescent
Adverse events
Cecostomy - methods
Child
Child, Preschool
Constipation
Fatalities
Female
Hospitals
Humans
Imaging
Infant
Infections
Intestine
Leakage
Male
Medicine
Medicine & Public Health
Morbidity
Neuroradiology
Nuclear Medicine
Oncology
Original Article
Patients
Pediatrics
Postoperative Complications
Radiology
Retrospective Studies
Shunts
Success
Treatment Outcome
Tubes
Ultrasound
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Summary:Background Reports of technical success, adverse events, and long-term outcome of percutaneous cecostomy in children are limited. Objective To characterize technical success, 30-day severe adverse events, and long-term outcome of percutaneous cecostomy at two centers. Materials and methods A retrospective review of hospital course and long-term follow-up (through May 2022) of percutaneous cecostomy tubes placed May 1997 to August 2011 at two children’s hospitals was used. Outcomes assessed included technical success (defined as successful tube placement into the colon allowing antegrade colonic enemas), length of stay, 30-day severe adverse events, surgery consults, surgical repair, VP shunt infection, ongoing flushes, tube removal, duration between maintenance tube exchanges, and deaths. Results A total of 215 procedures were performed in 208 patients (90 institution A, 125 institution B). Tubes were placed for neurogenic bowel (72.1%, n  = 155) and functional constipation (27.9%, n  = 60). Technical success was 98.1% (211/215) and did not differ between centers ( p  = 0.74). Surgical repair was required for bowel leakage in 5.1% (11/215) and VP shunt infection was managed in 2.1% (2/95). Compared to functional constipation, patients with neurogenic bowel had higher % tube remaining (65.3% [96/147] versus 25.9% [15/58], p  
ISSN:1432-1998
0301-0449
1432-1998
DOI:10.1007/s00247-024-05936-2