title: Laparoscopic placement of the Chait cecostomy device via appendicostomy.
abstract: The authors describe their experience with a series of 11 patients in whom they have carried out Chait cecostomy catheter insertion into a laparoscopically formed appendicostomy. This technique has several advantages compared with percutaneous insertion and we now insert the device at the primary procedure. The authors have had one minor complication in their 11 patients, with mean follow-up of 8 months. This technique is recommended for the management of refractory constipation, for etiologies including spina bifida, anorectal malformation, distal intestinal obstruction syndrome, and slow-colonic transit.
authors.affiliation: Department of General Surgery, Royal Children's Hospital, Melbourne, Australia.
authors.forename: Michael P
authors.initials: MP
authors.lastname: Stanton
authors.forename: Yeon-Myung
authors.initials: YM
authors.lastname: Shin
authors.forename: John M
authors.initials: JM
authors.lastname: Hutson
mesh_terms: D002431:Cecostomy / Q000379:methods*; D002648:Child; D003248:Constipation / Q000209:etiology / Q000601:surgery; D003550:Cystic Fibrosis / Q000150:complications; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay