Percutaneous endoscopic colostomy: a useful technique when surgery is not an option
Percutaneous endoscopic colostomy (PEC) is a minimally invasive endoscopic procedure that offers an alternative treatment for high-risk patients with sigmoid volvulus or intestinal pseudo-obstruction who have tried conventional treatment options without success or those who are unfit for surgery. The procedure acts as an irrigation or decompressing channel and provides colonic â€˜fixation' to the anterior abdominal wall. The risk of complications highlights the importance of informed consent for patients and relatives.
Keywords Colostomy, volvulus, intestinal pseudo-obstruction
Ann Gastroenterol 2016; 29 (4): 477-480