For a study, it was determined that to treat persistent constipation and fecal incontinence, cecostomy tubes were widely used for antegrade enema administration in children with spinal abnormalities and anorectal anomalies. Cecostomy tubes that had been surgically or radiologically inserted require adjustments via a percutaneous method, which may be ineffective, necessitating a repeat laparoscopy or open surgery to re-establish the cecostomy tract. The role of colonoscopy help in regaining lost cecostomy access in children who fail percutaneous replacement was unclear. For a study, researchers characterized the safety and efficacy of a colonoscopy-assisted method to re-establishing lost cecostomy access in children.

The study was a retrospective cohort analysis of the procedures, success rates, and complication rates linked with colonoscopy aided cecostomy tube replacement in children at a pediatric tertiary care hospital between 2000 and 2017. There were 95 patients and 841 attempted operations, with just 1% of procedures requiring endoscopic help. In six patients, seven colonoscopy-assisted cecostomy tube replacement operations were performed (median age 9.2, median weight 26.3 kg, 33% girls). A botched percutaneous technique was the most prevalent cause for requiring colonoscopy assistance. In all cases, the colonoscopy-assisted technique was effective, with no observed problems.

Colonoscopy-assisted cecostomy tube replacement was a safe and effective method of reestablishing lost cecostomy access in children following failed attempts using percutaneous or fluoroscopic-guided techniques.