title: Percutaneous endoscopic cecostomy: a case series.
abstract: BACKGROUND
  There are few reports of percutaneous endoscopic cecostomy in adult patients.
  
  
  METHODS
  All cases of acute colonic pseudo-obstruction (n = 2) and neurogenic bowel (n = 3) in adults in which percutaneous endoscopic cecostomy was performed were reviewed retrospectively.
  
  
  METHODS
  Percutaneous endoscopic cecostomy was a definitive treatment. In 1 of the 2 patients with acute colonic pseudo-obstruction, the percutaneous endoscopic cecostomy tube was clamped and subsequently removed 10 weeks after placement; in the other patient with acute colonic pseudo-obstruction, the percutaneous endoscopic cecostomy tube remains in place. In 2 of the 3 patients with neurogenic bowel, the percutaneous endoscopic cecostomy tube continues to function well; the third patient did well for 6 months and then died of underlying comorbid disease. There was no mortality or need for surgical intervention for any patient. Complications occurred in 2 patients; 1 developed transient fever and leukocytosis and 1 had self-limited bleeding during anticoagulation.
  
  
  CONCLUSIONS
  Percutaneous endoscopic cecostomy is a safe and effective treatment for both acute colonic pseudo-obstruction and neurogenic bowel when aggressive albeit conservative treatment is unsuccessful.
authors.affiliation: Division of Gastroenterology and Hepatology, Mayo Clinic Foundation, Rochester, Minnesota, USA.
authors.forename: Jack I
authors.initials: JI
authors.lastname: Ramage
authors.forename: Todd H
authors.initials: TH
authors.lastname: Baron
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D002431:Cecostomy / Q000379:methods*; D003112:Colonic Pseudo-Obstruction / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006801:Humans; D007410:Intestinal Diseases / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies