Percutaneous endoscopic cecostomy (introducer method) in chronic intestinal pseudo-obstruction: Report of two cases and literature review.
We report on two patients with recurrent episodes of chronic intestinal pseudo-obstruction (CIPO). A 50-year-old woman with severe multiple sclerosis and an 84-year-old man with Parkinson's disease and dementia had multiple hospital admissions because of pain and distended abdomen. Radiographic and endoscopic findings showed massive dilation of the colon without any evidence of obstruction. Conservative management resolved symptoms only for a short period of time. As these patients were poor candidates for any surgical treatment we carried out percutaneous endoscopic colostomy by placing a 20-Fr tube in the cecum with the introducer method. The procedure led to durable symptom relief without complications. We present these two cases and give a review through the existing literature of the procedure in CIPO.
Department of Gastroenterology and Oncology, Klinikum Ludwigsburg, Ludwigsburg, Germany.
Armin
A
Küllmer
Department of Gastroenterology and Oncology, Klinikum Ludwigsburg, Ludwigsburg, Germany.
Arthur
A
Schmidt
Department of Gastroenterology and Oncology, Klinikum Ludwigsburg, Ludwigsburg, Germany.
Karel
K
Caca
D000369:Aged, 80 and over; D002431:Cecostomy / Q000379:methods*; D002432:Cecum / Q000601:surgery*; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011860:Radiography, Abdominal
chronic intestinal pseudo-obstruction (CIPO); intestinal motility disorder; introducer method; percutaneous endoscopic cecostomy; percutaneous endoscopic colostomy (PEC)