Download PDF
Semin intervent Radiol
DOI: 10.1055/s-0044-1801331
Review Article

Percutaneous Cecostomy Catheters

Oluwanifemi G. Akinduro
1   Heersink School of Medicine at the University of Alabama at Birmingham, Birmingham, Alabama
,
Adam P. Jacobs
2   Department of Radiology, Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama
,
Andrew J. Gunn
2   Department of Radiology, Division of Vascular and Interventional Radiology, University of Alabama at Birmingham, Birmingham, Alabama
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Abstract

Percutaneous cecostomy catheters can be placed in the setting of either fecal incontinence or large bowel obstruction. While there are several etiologies for these disorders, the purpose of the cecostomy catheter is to provide ease of access for antegrade enemas in patients with fecal incontinence or relieve pain and discomfort in patients with a large bowel obstruction. Image-guided, percutaneous catheter placement into the cecum fits easily into the skillset of the interventional radiologist. Even though the literature consists of mostly single-center, retrospective case series, the procedure shows high rates of technical success, outstanding clinical outcomes, excellent patient satisfaction scores, and low rates of major adverse events. The purpose of this article is to review indications for cecostomy catheter placement, outline preprocedural patient evaluation, describe intraprocedural steps of catheter placement, detail postprocedural follow-up, and review both technical and clinical outcomes of cecostomy catheter placement.

Keywords

cecostomy - catheters - antegrade enemas


Publication History

Article published online:
08 January 2025

© 2025. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Emmanuel A. Neurogenic bowel dysfunction. F1000Res. 2019; 8:F1000. Fac Rev 1800
    PubMedSearch in Google Scholar
  • 2 Forootan M, Bagheri N, Darvishi M. Chronic constipation: a review of literature. Medicine (Baltimore) 2018; 97 (20) e10631
    CrossrefPubMedSearch in Google Scholar
  • 3 Kamal N, Motwani K, Wellington J, Wong U, Cross RK. Fecal incontinence in inflammatory bowel disease. Crohns Colitis 360 2021; 3 (02) otab013
    CrossrefPubMedSearch in Google Scholar
  • 4 Küllmer A, Schmidt A, Caca K. Percutaneous endoscopic cecostomy (introducer method) in chronic intestinal pseudo-obstruction: report of two cases and literature review. Dig Endosc 2016; 28 (02) 210-215
    CrossrefPubMedSearch in Google Scholar
  • 5 Anandam JL. Surgical management for fecal incontinence. Clin Colon Rectal Surg 2014; 27 (03) 106-109
    Thieme ConnectPubMedSearch in Google Scholar
  • 6 Meurette G, Duchalais E, Lehur PA. Surgical approaches to fecal incontinence in the adult. J Visc Surg 2014; 151 (01) 29-39
    CrossrefPubMedSearch in Google Scholar
  • 7 Patel IJ, Rahim S, Davidson JC. et al. Society of Interventional Radiology consensus guidelines for the periprocedural management of thrombotic and bleeding risk in patients undergoing percutaneous image-guided interventions - Part II: Recommendations: endorsed by the Canadian Association for Interventional Radiology and the Cardiovascular and Interventional Radiological Society of Europe. J Vasc Interv Radiol 2019; 30 (08) 1168-1184.e1
    CrossrefPubMedSearch in Google Scholar
  • 8 Chehab MA, Thakor AS, Tulin-Silver S. et al. Adult and pediatric antibiotic prophylaxis during vascular and IR procedures: a Society of Interventional Radiology Practice Parameter Update Endorsed by the Cardiovascular and Interventional Radiological Society of Europe and the Canadian Association for Interventional Radiology. J Vasc Interv Radiol 2018; 29 (11) 1483-1501.e2
    CrossrefPubMedSearch in Google Scholar
  • 9 Shandling B, Chait PG, Richards HF. Percutaneous cecostomy: a new technique in the management of fecal incontinence. J Pediatr Surg 1996; 31 (04) 534-537
    CrossrefPubMedSearch in Google Scholar
  • 10 Chait PG, Shlomovitz E, Connolly BL. et al. Percutaneous cecostomy: updates in technique and patient care. Radiology 2003; 227 (01) 246-250
    CrossrefPubMedSearch in Google Scholar
  • 11 Marker DR, Perosi N, Ul Haq F, Morefield W, Mitchell S. Percutaneous cecostomy in adult patients: safety and quality-of-life results. J Vasc Interv Radiol 2015; 26 (10) 1526-1532.e1
    CrossrefPubMedSearch in Google Scholar
  • 12 James CA, Hogan MJ, Seay RP. et al. Percutaneous cecostomy: 25-year two institution experience. Pediatr Radiol 2024; 54 (07) 1137-1143
    CrossrefPubMedSearch in Google Scholar
  • 13 Tewari SO, Getrajdman GI, Petre EN. et al. Safety and efficacy of percutaneous cecostomy/colostomy for treatment of large bowel obstruction in adults with cancer. J Vasc Interv Radiol 2015; 26 (02) 182-188
    CrossrefPubMedSearch in Google Scholar