经皮结肠镜下盲肠造口术治疗儿童慢性便秘
Percutaneous colonoscopic cecostomy for management of chronic constipation in children.
作者信息
Rivera M T, Kugathasan S, Berger W, Werlin S L
机构信息
The Department of Pediatrics, The Medical College of Wisconsin, The Children's Hospital of Wisconsin, and Froedtert Memorial Lutheran Hospital, Milwaukee, Wisconsin 53226, USA.
出版信息
Gastrointest Endosc. 2001 Feb;53(2):225-8. doi: 10.1067/mge.2001.112182.
BACKGROUND
Chronic constipation and encopresis are common problems in children with spina bifida and anorectal anomalies. Commonly used therapies include complicated bowel regimens and antegrade continence enemas delivered via surgically placed appendicostomies and radiologically placed cecostomies.
METHODS
A technique is described for percutaneous placement of cecostomies for the delivery of continence enemas or venting.
RESULTS
Percutaneous cecostomies were placed in 12 patients. Improvement in bowel management occurred in all patients.
CONCLUSIONS
Percutaneous endoscopic cecostomy is a safe and effective method for the treatment of intractable constipation.
背景
慢性便秘和大便失禁是脊柱裂和肛门直肠畸形患儿的常见问题。常用治疗方法包括复杂的肠道方案以及通过手术放置的阑尾造口术和放射学放置的盲肠造口术进行的顺行性节制灌肠。
方法
描述了一种经皮放置盲肠造口术以进行节制灌肠或排气的技术。
结果
12例患者接受了经皮盲肠造口术。所有患者的肠道管理均有改善。
结论
经皮内镜下盲肠造口术是治疗顽固性便秘的一种安全有效的方法。
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