2018
Primary placement of a skin-level Cecostomy Tube for Antegrade Colonic Enema Administration Using a Modification of the Laparoscopic-Assisted Percutaneous Endoscopic Cecostomy (LAPEC)
Graham CD, Rodriguez L, Flores A, Nurko S, Buchmiller TL. Primary placement of a skin-level Cecostomy Tube for Antegrade Colonic Enema Administration Using a Modification of the Laparoscopic-Assisted Percutaneous Endoscopic Cecostomy (LAPEC). Journal Of Pediatric Surgery 2018, 54: 486-490. PMID: 30409477, DOI: 10.1016/j.jpedsurg.2018.09.013.Peer-Reviewed Original ResearchConceptsSkin-level deviceTube placementPrimary placementCecostomy tubeHigher BMIEnema administrationExact testSingle-institution retrospective reviewSuspension suturesAntegrade enema administrationCecostomy tube placementPercutaneous endoscopic cecostomyPEG tube placementMajority of patientsCase series studyAntegrade colonic enemaPercutaneous needle punctureSuccessful tube placementFisher's exact testBowel managementFecal incontinenceSevere constipationPatient characteristicsPEG placementSite infection
2010
Antegrade colonic enemas and intestinal diversion are highly effective in the management of children with intractable constipation
Christison-Lagay ER, Rodriguez L, Kurtz M, St. Pierre K, Doody DP, Goldstein AM. Antegrade colonic enemas and intestinal diversion are highly effective in the management of children with intractable constipation. Journal Of Pediatric Surgery 2010, 45: 213-219. PMID: 20105606, DOI: 10.1016/j.jpedsurg.2009.10.034.Peer-Reviewed Original ResearchConceptsAntegrade continence enemaIntractable constipationSatisfactory outcomeContinence enemaIntestinal continuityRetrospective reviewSurgical approachPredictors of successColonic manometry studiesPassage of stoolPrimary colonic resectionManagement of childrenOptimal surgical approachAntegrade colonic enemaInitial therapyAbdominal distensionIdiopathic constipationPrimary resectionColonic resectionAdditional surgeryColonic manometryMedical therapyPediatric patientsACE procedureColonic enema