The cecostomy is a procedure that is used for the cleansing of the bowel of your child when other treatment methods are not effective. This is done as a result of incontinency due to any reason. It is fecal incontinence due to major health concerns. This means that the child has no control over passing a bowel movement. The symptoms of cecostomy are:
- Worsening constipation
- Unexpected bowel movements
- This can be very awkward and embarrassing
Cecostomy is not the same as an enema which aids in relieving constipation. Enema is introduced directly into the rectum and helps in cleaning out feces through the bowel. In the case of cecostomy, the doctor inserts a tube called a catheter in the initial part of the large bowel also known as the cecum. It is present in the lower right abdomen. A liquid drug is injected into the rectum through this tube. This medicine enables the cajoling of the stool out of the body.
How do you know that your child needs a cecostomy?
- In case of fecal incontinence, your child will need a cecostomy, if the other methods of treatment don’t work.
- Cecostomy might be required for the treatment of your child if he has the following symptoms:
- Imperforate anus, the stool does not pass out properly
- Spina bifida and other spinal problems
- Some other muscles related problems
What are some complications or risks of cecostomy?
Typically, children don’t feel any difficulty during this process. But there are chances of some risks. These risks are:
When you insert the tube or the catheter it got dislocated and it can be difficult to clean out the rectum
- Peritonitis, an infection in the stomach caused as a result of dislocated tube or catheter
- Mechanical failure of the tube or the catheter
- Growth of the tissue at the location of the tube
- An infection in the area surrounding the anal where the tube is inserted
How can I prepare my child for the cecostomy?
- You should clean your child’s bowel before inserting the tube.
- Your child should stop eating anything and consume liquids about two days before the procedure.
- One night before the procedure, you can give your child a laxative solution. It helps in cleansing the bowel.
- On the morning of the procedure, there an x-ray will be performed to ensure there is no bowel in the feces
What happens during this procedure?
- You need to stay with your child in the hospital for the insertion of the cecostomy tube. The stay can last for one to two days. Typically, the procedure is as follows:
- An Iv is used for introducing the medicine that helps in calming and soothing the child throughout the procedure. Or in some cases, the child may be given general anesthesia.
- A healthcare expert inserts a surgical instrument through small invasions in the abdominal skin and then along with the cecum. Then he or she connects the intestine with the abdominal wall by sewing it, or fasteners.
- Then health expert inserts a specially designed hollow needle in the cecum
- Laparoscopy can be used for this procedure.
- The process explained above is how to insert the catheter or tube in the cecum. It can be done from time to time to relieve the bowel movements.
What happens following the procedure?
Your child needs to stay in the hospital. He or she will be kept under observation till the next day. This can lessen the risks and complications.
A contrast study may also be required. This ensures that the catheter is located properly. The x-ray is used for observing the movement of the dye into the cecum.
Cecostomy insertion is the first step towards the treatment of fecal incontinence. After a week the child can be given enema through the catheter at home. The liquid will flow into the cecum to appreciate a bowel movement. The doctor will guide you on how many times it is needed to be done.
Contact your doctor if you notice the following symptoms:
- A skin infection at the location of the catheter
- Blood or swelling
- Pus or mucus from the anus
- Abdominal cramps
You need to remove the catheter and insert it every time. It ensures hygiene and lessens complications.
Before your child undergoes cecostomy you must know:
- The name of the process
- The cause of the test
- What to expect as a result
- When is the test held?
- What happens if the procedure goes wrong
- What is the qualification of the doctor
- Any alternative procedures
- When will you get the results
- What is the fee for the procedure