title: Endoscopic percutaneous cecostomy (EPC).
abstract: Endoscopic decompression of the distended colon has become a useful method of treating non-obstructive colonic ileus. We propose a method of establishing a cecal fistula by means of percutaneous puncture of the colon and pull-through of a Pezzer catheter. Although until now we have only performed this procedure twice, it seems to be a valuable therapeutic approach in cases of paralytic distension of the large bowel.
authors.affiliation: Chirurgische Universitätsklinik, Abteilung Allgemeine Chirurgie mit Poliklinik, Freiburg i. Br., Federal Republic of Germany.
authors.forename: R
authors.initials: R
authors.lastname: Salm
authors.forename: K
authors.initials: K
authors.lastname: Rückauer
authors.forename: D
authors.initials: D
authors.lastname: Waldmann
authors.forename: E H
authors.initials: EH
authors.lastname: Farthmann
mesh_terms: D000368:Aged; D002431:Cecostomy / Q000379:methods*; D004724:Endoscopy / Q000379:methods; D004766:Enterostomy / Q000379:methods*; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000000981:diagnostic imaging / Q000628:therapy*; D008150:Lower Body Negative Pressure; D008297:Male; D011859:Radiography