Prospective analysis of percutaneous endoscopic colostomy at a tertiary referral centre.
BACKGROUND
Percutaneous endoscopic colostomy (PEC) is an alternative to surgery in selected patients with recurrent sigmoid volvulus, recurrent pseudo-obstruction or severe slow-transit constipation. A percutaneous tube acts as an irrigation or decompressant channel, or as a mode of sigmoidopexy. This prospective study evaluated the safety and efficacy of this procedure at a single tertiary referral centre.


METHODS
Nineteen patients with recurrent sigmoid volvulus, ten with idiopathic slow-transit constipation and four with pseudo-obstruction underwent PEC. The tube was left in place indefinitely in those with recurrent sigmoid volvulus or constipation, whereas in patients with pseudo-obstruction it was left in place for a variable period of time, depending on symptoms.


RESULTS
Thirty-five procedures were performed in 33 patients. Three patients developed peritonitis, of whom one died, and ten patients had minor complications. Symptoms resolved in 26 patients.


CONCLUSIONS
This large prospective study has confirmed the value of PEC in the treatment of recurrent sigmoid volvulus and pseudo-obstruction in high-risk surgical patients.
Baraza
W
W
Surgical and Anaesthetic Sciences, University of Sheffield, Sheffield, UK. walbaraza@hotmail.com
Brown
S
S
McAlindon
M
M
Hurlstone
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003112:Colonic Pseudo-Obstruction / Q000601:surgery; D003125:Colostomy / Q000379:methods*; D003248:Constipation / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery*; D045822:Intestinal Volvulus / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D011446:Prospective Studies; D012008:Recurrence; D012810:Sigmoid Diseases / Q000601:surgery*