title: Percutaneous cecostomy in the management of organic fecal incontinence in children.
abstract: OBJECTIVE
  To assess the effectiveness and safety of imaging-guided percutaneous cecostomy in the management of pediatric patients with organic fecal incontinence.
  
  
  METHODS
  Twenty three cecostomies were performed on 21 children with organic fecal incontinence (13 males, 8 females), aged from 5 to 16 years (mean 9.5 years). Thirteen patients had neurogenic fecal incontinence and 8 patients had anorectal anomalies. Procedures were performed under general anesthesia and fluoroscopic guidance. Effectiveness and complication data were obtained for at least 1 year after the procedure.
  
  
  RESULTS
  Cecostomy was successful in 20 patients (primary technical success rate 95%). Cecostomy failed in one patient due to tube breakage (secondary technical success rate 100%). The tubes were in situ for an average of 18 mo (range 12-23 mo). Eighteen patients (87%) expressed satisfaction with the procedures. Resolution of soiling was achieved in all patients with neurogenic fecal incontinence (100%) and in 5 of 8 patients with anorectal anomalies (62.5%). Eleven patients (52%) experienced minor problems. No major complications were noted.
  
  
  CONCLUSIONS
  Percutaneous cecostomy improves the quality of life in children with organic fecal incontinence. A satisfactory outcome is more prevalent in patients with neurogenic fecal incontinence than anorectal anomalies.
authors.affiliation: Ragab Hani Donkol, Department of Radiology, Faculty of Medicine, Cairo University, Egypt Aseer Central Hospital, PO Box 34, 31911, Abha, Saudi Arabia.
authors.forename: Ragab Hani
authors.initials: RH
authors.lastname: Donkol
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al-Nammi