PERCUTANEOUS ENDOSCOPIC CECOSTOMY(PEC) FOR ILEUS IN AGED PATIENTS

• UNO Yoshiharu

  Division of Gastroenterology, Inazumi-Memorial Hospital

• NAGAOKA Yasuhiro

  Division of Gastroenterology, Inazumi-Memorial Hospital

• SHIRAI Tsuyoshi

  Division of Gastroenterology, Inazumi-Memorial Hospital

Bibliographic Information

Other Title

• 高齢者イレウスの治療としての経皮内視鏡的盲腸瘻

Abstract

In aged patients with incapable of laparotomy, the main indications of percutaneous endoscopic cecostomy (PEC) are acute colonic psudoobstruction, megacolon, chronic colonic psudoobstruction, and stenosis of malignant lesion. Method and logic of PEC was based on evidence of operative cecostomy for drainage and technique of percutaneous endoscopic gastrostomy. There are two techniques of PEC : introducer method and pull method. In the case for drainage and ACE, introducer method must be used with catheter of 15 French . PEC must be implemented more carefully than PEG, although the method of PEC is similar as PEG. For fixing of the cecum to the abdominal wall, 3 to 4 points were sutured and fastened to the abdominal wall. The main complications are bleeding and growth of granulation tissue.

Journal

• GASTROENTEROLOGICAL ENDOSCOPY

  GASTROENTEROLOGICAL ENDOSCOPY 50 (3), 408-416, 2008

  Japan Gastroenterological Endoscopy Society

Keywords

• 経皮内視鏡的盲腸瘻(PEC)/イレウス/高齢者

Details

• CRID: 1390001204217055744
• NII Article ID: 130004255175
• NII Article ID: 10021272405
• NII Book ID: AN00192102
• DOI: 10.11280/gee1973b.50.408
• ISSN: 18845738
• ISSN: 03871207
• Web Site: https://search.jamas.or.jp/link/ui/2008179530
• Text Lang: ja
• Data Source:
  • JaLC
  • CiNii Articles
• Abstract License Flag: Disallowed