La cæcostomie endoscopique : Que faut-il savoir? (notice n° 1824565)
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| fixed length control field | 04907cam a2200337 4500500 |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20260329003431.0 |
| 041 ## - LANGUAGE CODE | |
| Language code of text/sound track or separate title | fre |
| 042 ## - AUTHENTICATION CODE | |
| Authentication code | dc |
| 100 10 - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Raguin, Hugo |
| Relator term | author |
| 245 00 - TITLE STATEMENT | |
| Title | La cæcostomie endoscopique : Que faut-il savoir? |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Date of publication, distribution, etc. | 2026.<br/> |
| 500 ## - GENERAL NOTE | |
| General note | 41 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | La cæcostomie endoscopique percutanée (CEP) constitue une alternative mini-invasive à la chirurgie dans la prise en charge de la constipation chronique sévère ou des troubles anorectaux réfractaires. Développée à partir du concept de l’appendicostomie de Malone, la CEP permet des irrigations coliques antérogrades par un cathéter introduit dans le cæcum sous contrôle endoscopique, facilitant la vidange intestinale et améliorant la qualité de vie. Ses principales indications sont la constipation chronique sévère résistante aux traitements médicaux, les dysfonctions anorectales d’origine neurologique, la pseudo-obstruction colique récidivante (syndrome d’Ogilvie) et l’incontinence fécale passive. L’indication n’est retenue qu’après un bilan morpho-fonctionnel complet et échec d’un traitement conservateur d’au moins six mois. La procédure, réalisée sous anesthésie générale, consiste en une cæcopexie avec mise en place d’un cathéter Chait Trapdoor™. Les complications sont le plus souvent pariétales (douleurs chroniques, granulomes, suintements, infections superficielles), survenant chez environ la moitié des patients, tandis que les complications intra-abdominales restent exceptionnelles. Les résultats des séries récentes montrent un taux de succès clinique de 60 à 70 %, avec une amélioration significative des scores de constipation (KESS), d’incontinence (Cleveland) et de qualité de vie (GIQLI). Cependant, environ un tiers des patients font retirer le dispositif au cours de la première année, le plus souvent en raison de douleurs chroniques au point d’insertion. En conclusion, la CEP s’impose comme une option efficace, réversible et moins morbide que la chirurgie colique, offrant une amélioration fonctionnelle et de la qualité de vie dans des situations sélectionnées de constipation ou d’incontinence réfractaire, tout en retardant ou évitant des interventions chirurgicales plus invasives. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Percutaneous endoscopic colostomy (PEC) is a minimally invasive alternative to surgery for treating severe chronic constipation and refractory anorectal disorders. Based on the concept of Malone’s appendicostomy, PEC enables antegrade colonic irrigation through a catheter inserted into the cecum under endoscopic guidance. This procedure facilitates bowel emptying and improves quality of life. It is primarily indicated for severe chronic constipation that does not respond to medical treatment, anorectal dysfunction of neurological origin, recurrent colonic pseudo-obstruction (Ogilvie syndrome), and passive fecal incontinence. This procedure is only recommended after a complete morphological and functional evaluation and after conservative treatment has failed for at least six months. The procedure is performed under general anesthesia and consists of cecopexy with placement of a Chait Trapdoor™ catheter. Complications most often occur at the incision site (chronic pain, granulomas, oozing, and superficial infections) and affect about half of patients, while intra-abdominal complications remain rare. Recent studies show a clinical success rate of 60 to 70%, with significant improvements in constipation (KESS), fecal incontinence (Cleveland), and quality of life (GIQLI) scores. However, approximately one third of patients have the device removed within the first year, primarily due to chronic pain at the insertion site. In conclusion, colonic emptying prophylaxis (CEP) is a more effective and less morbid option than colonic surgery. It offers functional improvement and an enhanced quality of life in selected cases of refractory constipation or incontinence, while delaying or avoiding the need for more invasive surgical procedures. |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | cæcostomie endoscopique percutanée |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | décompression endoscopique |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | pseudo-obstruction colique aiguë |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | syndrome d’Ogilvie |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | acute colonic pseudo-obstruction |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | endoscopic decompression |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | Ogilvie’s syndrome |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) | |
| Topical term or geographic name as entry element | percutaneous endoscopic cecostomy |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Velut, Guillaume |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Le Rhun, Marc |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Archambeaud, Isabelle |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Takoudju, Céline |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Duchalais, Emilie |
| Relator term | author |
| 700 10 - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Coron, Emmanuel |
| Relator term | author |
| 786 0# - DATA SOURCE ENTRY | |
| Note | Hépato-Gastro & Oncologie Digestive | 33 | 1 | 2026-02-10 | p. 40-51 | 2115-3310 |
| 856 41 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://stm.cairn.info/revue-hepato-gastro-oncologie-digestive-2026-1-page-40?lang=fr&redirect-ssocas=7080">https://stm.cairn.info/revue-hepato-gastro-oncologie-digestive-2026-1-page-40?lang=fr&redirect-ssocas=7080</a> |
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