Cecostomy for Children

What’s a cecostomy for kids?

Cecostomy is surgical procedure to clear a baby’s bowels of feces when different therapy has not labored. It’s used for kids with fecal incontinence attributable to main well being issues. Fecal incontinence means your baby can’t management their bowels. Signs can vary from having extreme constipation to having a bowel motion at an sudden or embarrassing time.

Cecostomy is totally different from an enema that’s used to ease constipation. An enema is given immediately by means of the rectum to assist free the feces. In a cecostomy, the healthcare supplier places a tube (catheter) by means of the pores and skin of the stomach into the primary a part of the massive gut (cecum). It’s within the decrease proper stomach. The supplier injects liquid drugs into the cecum by means of this tube. The drugs helps coax the feces out of the physique by means of the rectum.

Why would possibly my baby want a cecostomy?

Your baby may have a cecostomy if they’ve fecal incontinence and different remedies haven’t labored. However most kids with this well being downside can have success with different remedies.

Your baby might also want the process if they’ve any of the next:

• The anus isn’t letting feces move because it ought to (imperforate anus)

• Spinal issues, similar to spina bifida

• A mixture of the above two well being issues

• Different muscular issues

What are the dangers of a cecostomy for a kid?

Most youngsters have no issues with the process. Nevertheless it does have some dangers. These are:

• The tube (catheter) will get displaced

• An an infection within the stomach (peritonitis) attributable to misplacing the catheter

• Mechanical failure of the tube

• Progress of tissue on the tube web site

• Bleeding and irritation on the tube web site

• An an infection across the web site the place the tube was inserted

How do I assist my baby prepare for a cecostomy?

Preparing for the process contains:

• Earlier than the tube will be put in, your baby may have a bowel prep to wash the colon.

• For the bowel prep, your baby must be on a clear-fluid food regimen for two days earlier than the cecostomy.

• The night time earlier than the process, your baby will probably have to drink a laxative resolution. It cleans out the bowels.

• On the day of the process, your baby can have an belly X-ray to verify the bowel is freed from stool.

What occurs throughout a cecostomy for a kid?

Your baby might want to keep within the hospital for the process to insert the cecostomy tube. The keep typically lasts 1 to 2 days. More often than not, the process will go as follows:

• Your baby will get drugs by means of an IV (intravenous) line that helps them loosen up in the course of the process. Your baby could also be put to sleep with normal anesthesia.

• A healthcare supplier often inflates the colon with air till the cecum is expanded.

• The healthcare supplier places surgical instruments by means of small cuts (incisions) within the pores and skin and into the cecum. They connect the bowel to the belly wall with stitches, sutures, or fasteners.

• The supplier places a particular hole needle into the cecum.

• The supplier threads the catheter by means of this needle and into the cecum.

This process will also be executed with a laparoscope. With this methodology, the healthcare supplier places a laparoscope right into a small incision within the stomach button.

The method outlined above is what is finished to insert the cecostomy tube. The cecostomy itself will then be executed sometimes to alleviate the bowels based mostly in your baby’s wants.

What occurs after a cecostomy for a kid?

As soon as the cecostomy tube has been put in, your baby will keep within the hospital till the subsequent day for statement. It will assist decrease the chance for problems.

Your baby might also want a distinction examine. This take a look at makes positive that the catheter is positioned accurately. For it, the healthcare supplier injects distinction dye by means of the tube and into the cecum. Then the supplier makes use of an X-ray to take a look at the dye to be sure that it travels into the cecum.

Placing the cecostomy tube in place is simply step one in easing fecal incontinence. After a few week, you’ll give your baby an enema by means of the cecostomy tube at dwelling, with steering out of your baby’s healthcare supplier. This course of will contain placing liquid into the cecostomy tube. This liquid will move into the cecum to encourage a bowel motion. Your baby’s healthcare supplier will let you know how typically this can must be executed.

Inform your baby’s healthcare supplier in case your baby has any of the next:

• A noticeable pores and skin an infection on the catheter web site

• Bleeding or swelling on the web site

• Pus leaking from the positioning

• The tube turns into dislodged or strikes

• Belly (stomach) ache

• Fever

Your baby will probably have to have the catheter eliminated and changed infrequently. It must be executed for hygiene causes and to decrease the chance for problems.

Subsequent steps

Earlier than you conform to the take a look at or process to your baby, ensure you know:

• The title of the take a look at or process

• The rationale your baby is having the take a look at or process

• What outcomes to count on and what they imply

• The dangers and advantages of the take a look at or process

• When and the place your baby is to have the take a look at or process

• Who will do the process and what that individual’s {qualifications} are

• What would occur in case your baby didn’t have the take a look at or process

• Any different exams or procedures to consider

• When and the way you’ll get the outcomes

• Who to name after the take a look at or process you probably have questions or your baby has issues

• How a lot you’ll have to pay for the take a look at or process