Endoscopy 1988; 20(6): 309-312
DOI: 10.1055/s-2007-1018203
NEW TECHNIQUES

© Georg Thieme Verlag KG Stuttgart · New York

Transcolonoscopic Extraperitoneal Cecostomy

A New Therapeutic and Technical ProposalA. J. Ganc, A. J. Faria Netto, A. C. Morrell, H. Plapler, J. C. Ardengh
  • Hospital Israelita Albert Einstein, SP. Brazil
Further Information

Publication History

Publication Date:
17 March 2008 (online)

Summary

The authors propose a new technique of decompression of the colon consisting in percutaneous cecostomy with previous extraperitonization of the cecum under colonoscopic orientation. The technique permits decompression of the entire colon through the insertion of a ceco-anal multiperforated Levine tube on withdrawing the colonoscope.

It is a new therapeutic choice for the treatment of the Ogilvie syndrome, toxic megacolon and other morbid entities, which may permit the performance of the procedure and require decompression of the colon, which proved to be extremely effective in the treatment of a patient with the Ogilvie syndrome.