Download Cecostomy Tube Placement

El Paso Children’s Hospital
Imaging Department: (915)298-8353
Scheduling: (915)298-KIDS (5437)
Cecostomy Tube Placement
WHY IS THIS TEST DONE:
Patients with fecal incontinence can use a cecostomy tube to administer an enema to quickly
and completely evacuate the large intestines through the anus. The tube is a catheter (a thin
tube) placed into the cecum, the first part of the large bowel (in the lower right abdomen).
WHAT TO EXPECT:
The patient will arrive at the hospital and enter at the main entrance. The patient will report in
to register and review insurance. The patient should have a copy of the orders as a precaution.
The patient will be brought back to the department where we will confirm the patient’s
identity, explain the procedure, and review their history.
The doctor begins the procedure by inflating the colon with air until the cecum is distended.
The doctor inserts a small needle through the skin into the cecum, and then attaches the bowel
to the abdominal wall with two stitches. A catheter is then threaded through a special hollow
needle into the cecum. To confirm proper placement of the catheter, we will inject contrast dye
through the catheter, using live X-ray (fluoroscopy) to make sure the dye travels into the
cecum. Your child will be protected by an X-ray shield during the procedure
A clear-liquid diet must be continued until normal bowel function returns. This may take several
days. We will provide detailed instructions.
HOW LONG WILL IT TAKE?
Most children are hospitalized for two to three days to minimize the risk of complications. Your
child will be allowed to move around as tolerated. The catheter insertion site may be tender for
several days.
PREPARATION:
Before the procedure, the patient must follow a “bowel prep” to cleanse the colon. Proper
bowel preparation is important for successful placement of a cecostomy tube.
PRECAUTIONS:
The precautions of the actual procedure will be discussed with the Pediatric Radiologist.
CONTRAINDICATIONS:
Please notify your physician and the Imaging staff if you have any allergies, especially to local
anesthetics such as lidocaine.
MEDICATION ISSUES:
Patient should avoid taking anti-inflammatory medication 24-48 hours prior to procedure (ex:
Advil, Motrin, ibuprofen, Aleve, naproxyn, etc.), aspirin, plavix, coumadin, or any other blood
thinners should be stopped prior to exam. Please be sure to discuss discontinuation or
prescribed medications with your physician, they will tell you how many days prior to the
procedure to discontinue you medications. Do not discontinue medications without consulting
with your physician first.