Cecostomy and Video
Written by Pediatric Surgeons of Phoenix
Chait Cecostomy and management of incontinence
Incontinence in older children is a major social problem. Many of these children have anatomic or physiologic problems that prevent stool continence. Cecostomy tube placement in some children allows them to empty their bowels at a time of their choosing and decreases unexpected stooling.
The principle is simple. Children have a finite amount of stool in their colon which builds over time. Rectal enemas are successful only in clearing stool from the last part of the colon (the rectum). By placing a small tube in the first part of the colon, the entire colon can be flushed of stool at a single bathroom session. This leaves the child free from unexpected stooling for a reasonable period of time. The amount of time before the next spontaneous bowel movement, however, is variable.
Dr. Chait is the interventional radiologist who pioneered the procedure at The Hospital for Sick Children in Toronto (Canada).
This shows the Chait Trapdoor cecostomy tube at initial placement, and at 3 years.
Click Here to view/print Incontinence Chait Cecostomy PDF.