Laparoscopic cecostomy button placement for the management of fecal incontinence in children with Hirschsprung's disease and anorectal anomalies

Surgical Endoscopy
A YagmurluK E Georgeson

Abstract

Antegrade colonic enemas offer a surgical solution for many children with chronic constipation and encopresis associated with Hirschsprung's disease and anorectal malformations. This study demonstrated the feasibility of a new laparoscopic technique for cecostomy button placement (LCBP) to allow antegrade enema treatment. Charts of children with encopresis who underwent LCBP between 1999 and 2001 were reviewed. The age, weight, primary diagnosis, operative time, hospital stay, associated complications, follow-up duration, and outcome of the patients were recorded. The surgical technique used a "U-stitch" method and a chait tube or a standard gastrostomy button. A follow-up telephone survey was conducted to assess parental satisfaction and overall success in continence. Seven patients ages 4 to 12 years (mean, 7.3 +/- 1.3 years) and weighing 15 to 44 kg (mean, 24.5 +/- 4 kg) underwent LCBP over a 2-year period. The mean follow-up period was 15 +/- 4 months (range, 6-33 months). Four patients had anorectal malformations, and three patients had Hirschsprung's disease. For all the patients, LCBP was accomplished without any intraoperative complications. The mean operative time was 33 +/- 2 min, and the hospital stay was 2 to 5 days...Continue Reading

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Citations

Apr 15, 2008·Pediatric Surgery International·Chandrasen Kumar SinhaHarry C Ward
Feb 7, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Peter Mattei
Nov 26, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Salmai TurialFelix Schier
Apr 11, 2012·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Charlotte Holbrook, Thomas Tsang
Feb 23, 2010·Canadian Urological Association Journal = Journal De L'Association Des Urologues Du Canada·Scott E DelacroixJ Christian Winters
Jun 1, 2016·Journal of Pediatric Gastroenterology and Nutrition·Roberto A Gomez-SuarezJohn E Fortunato
Jan 18, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shifra KoyfmanKyle Staller
Dec 14, 2017·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·David F GrabskiJeffrey W Gander
Jul 21, 2015·Journal of Pediatric Gastroenterology and Nutrition·Sophie Kuizenga-WesselCarlo Di Lorenzo
Jun 7, 2019·Journal of Pediatric Gastroenterology and Nutrition·Chinenye Dike, Riad Rahhal
Nov 10, 2015·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Joseph T ChurchMarcus D Jarboe
Feb 14, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Salmai TurialFelix Schier
Mar 24, 2010·Seminars in Pediatric Surgery·Shawn J Rangel, Ivo de Blaauw

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