+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study



Endoscopic colostomy with percutaneous colopexy: an animal feasibility study



Revista Espanola de Enfermedades Digestivas 109(4): 273-278



Indications for colostomy in colorectal diseases are obstruction of the large bowel, such as in cancer, diverticular disease in the acute phase, post-radiotherapy enteritis, complex perirectal fistulas, anorectal trauma and severe anal incontinence. Some critically ill patients cannot tolerate an exploratory laparotomy, and laparoscopic assisted colostomy also requires general anesthesia. To evaluate the feasibility, safety and efficacy of performing colostomy assisted by colonoscopy and percutaneous colopexy. Five pigs underwent endoscopic assisted colostomy with percutaneous colopexy. Animals were evaluated in post-operative days 1, 2, 5 and 7 for feeding acceptance and colostomy characteristics. On day 7 full colonoscopy was performed on animals followed by exploratory laparotomy. Average procedure time was 27 minutes (21-54 min). Postoperative mobility and feeding of animals were immediate after anesthesia recovery. Position of the colostomy, edges color, appearance of periostomal area, as well as its function was satisfactory in four animals. Retraction of colostomy was present in one pig. The colonoscopy and laparotomy control on the seventh day were considered as normal. A bladder perforation that was successfully repaired through the colostomy incision occurred in one pig. The main limitation of this study is its experimental nature. Endoscopic assisted colostomy with percutaneous colopexy proves to be a safe and effective method with low morbidity for performing colostomy in experimental animals, with possible clinical application in humans.

Please choose payment method:






(PDF emailed within 1 workday: $29.90)

Accession: 059680401

Download citation: RISBibTeXText

PMID: 28253730


Related references

Endoscopic-assisted colopexy and push percutaneous colostomy in the transverse colon for refractory chronic intestinal pseudo-obstruction. Surgical Laparoscopy Endoscopy and Percutaneous Techniques 21(6): E322-E325, 2011

Endoscopic treatment of recurrent sigmoid volvulus with colopexy assisted by T-fasteners and colostomy. Endoscopy 48(Suppl. 1): E236-E237, 2016

Percutaneous endoscopic colopexy--a new treatment possibility for volvulus of the sigmoid. Deutsche Medizinische Wochenschrift 120(14): 478-482, 1995

Button colopexy for colostomy prolapse. South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie 26(2): 73-74, 1988

Dual endoscopic-assisted endoluminal colostomy reversal: a feasibility study. Surgical Endoscopy 18(3): 433-439, 2004

Percutaneous endoscopic colostomy: a useful technique when surgery is not an option. Annals of Gastroenterology 29(4): 477-480, 2016

Conversion of percutaneous endoscopic gastrostomy to a tube colostomy. Southern Medical Journal 80(6): 797-798, 1987

Percutaneous endoscopic colostomy of the left side of the colon. Gastrointestinal Endoscopy 65(7): 1007-1014, 2007

Percutaneous colostomy for treatment of mechanical bowel obstruction: factors affecting feasibility. Journal of Vascular and Interventional Radiology 7(4): 561-567, 1996

Bedside modified latex tube colopexy for the treatment of colostomy prolapse in children. Israel Journal of Medical Sciences 26(7): 410-411, 1990

Salvage therapy for colonic mechanical obstruction with introducer-type colostomy and colopexy. Videogie 2(6): 158-160, 2017

Salvage Therapy for Colonic Mechanical Obstruction With Introducer-Type Colostomy and Colopexy. Gastrointestinal Endoscopy 85(5): Ab126-Ab127, 2017

Recurrent sigmoid volvulus treated by percutaneous endoscopic colostomy. British Journal of Surgery 87(10): 1419, 2000

Conservative management of migrated percutaneous endoscopic colostomy tube. Journal of Surgical Case Reports 2017(1):, 2017

The application of percutaneous endoscopic colostomy to the management of obstructed defecation. Diseases of the Colon and Rectum 45(5): 700-702, 2002