Cecostomy tubes: A practical approach for the radiologist
Purpose or Case Report: Cecostomy tubes are not uncommonly encountered in a busy pediatric radiology practice but can pose a challenge to the unfamiliar. These devices provide access to the colon for routine antegrade enemas to promote bowel regularity and continence, most commonly in children with spinal dysraphism. This educational exhibit will describe the typical routine for cecostomy tube exchange, characterized by the Seldinger technique, and describe interesting cases of more difficult exchanges and complications, including different scenarios of broken and malpositioned tubes, and a practical approach to management of these challenges. After viewing this exhibit, the radiologist should be armed with several strategies for approaching both routine and complicated cecostomy tube exchanges. Methods & Materials: Results: Conclusions:
Basta, Amaya
( Oregon Health & Science University
, Portland
, Oregon
, United States
)
Vajtai, Petra
( Oregon Health & Science University
, Portland
, Oregon
, United States
)
Hopkins, Katharine
( Oregon Health & Science University
, Portland
, Oregon
, United States
)
Schmitz, Kelli
( Oregon Health & Science University
, Portland
, Oregon
, United States
)
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