Year 2017 / Volume 109 / Number 4
Original
Endoscopic colostomy with percutaneous colopexy: an animal feasibility study

273-278

DOI: 10.17235/reed.2017.4201/2016

Leonardo Alfonso Bustamante-Lopez, Marianny Sulbaran, Sergio Carlos Nahas, Eduardo Guimaraes Horneaux de Moura, Caio Sergio Nahas, Carlos Frederico Marques, Christiano Sakai, Ivan Cecconello, Paulo Sakai,

Abstract
Background: Indications for colostomy in colorectal diseases are obstruction of the large bowel, such as in cancer, diverticular disease in the acute phase, post-radiotherapy enteritis, complex perirectal fistulas, anorectal trauma and severe anal incontinence. Some critically ill patients cannot tolerate an exploratory laparotomy, and laparoscopic assisted colostomy also requires general anesthesia. Objective: To evaluate the feasibility, safety and efficacy of performing colostomy assisted by colonoscopy and percutaneous colopexy. Materials and methods: Five pigs underwent endoscopic assisted colostomy with percutaneous colopexy. Animals were evaluated in post-operative days 1, 2, 5 and 7 for feeding acceptance and colostomy characteristics. On day 7 full colonoscopy was performed on animals followed by exploratory laparotomy. Results: Average procedure time was 27 minutes (21-54 min). Postoperative mobility and feeding of animals were immediate after anesthesia recovery. Position of the colostomy, edges color, appearance of periostomal area, as well as its function was satisfactory in four animals. Retraction of colostomy was present in one pig. The colonoscopy and laparotomy control on the seventh day were considered as normal. A bladder perforation that was successfully repaired through the colostomy incision occurred in one pig. The main limitation of this study is its experimental nature. Conclusion: Endoscopic assisted colostomy with percutaneous colopexy proves to be a safe and effective method with low morbidity for performing colostomy in experimental animals, with possible clinical application in humans.
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Bustamante-Lopez L, Sulbaran M, Nahas S, de Moura E, Nahas C, Marques C, et all. Endoscopic colostomy with percutaneous colopexy: an animal feasibility study . 4201/2016


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Publication history

Received: 12/01/2016

Accepted: 22/12/2016

Online First: 03/03/2017

Published: 31/03/2017

Article revision time: 292 days

Article Online First time: 416 days

Article editing time: 444 days


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