Percutaneous cecostomy: 25-year two institution experience

Reports of technical success, adverse events, and long-term outcome of percutaneous cecostomy in children are limited. To characterize technical success, 30-day severe adverse events, and long-term outcome of percutaneous cecostomy at two centers. A retrospective review of hospital course and long-term follow-up (through May 2022) of percutaneous cecostomy tubes placed May 1997 to August 2011 at two children’s hospitals was used. Outcomes assessed included technical success (defined as successful tube placement into the colon allowing antegrade colonic enemas), length of stay, 30-day severe adverse events, surgery consults, surgical repair, VP shunt infection, ongoing flushes, tube removal, duration between maintenance tube exchanges, and deaths. A total of 215 procedures were performed in 208 patients (90 institution A, 125 institution B). Tubes were placed for neurogenic bowel (72.1