Percutaneous Cecostomy Insertion
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Chait Percutaneous Cecostomy Set - (TDCS-100-CS)
Components Diagram

wpe4C.jpg (1975 bytes)Used to facilitate antegrade colonic cleansing of the large intestine for patients with fecal incontinence. It features a unique low profile "trapdoor" fitting, designed to lay flat against the skin for enhanced patient compliance. The Chait Trapdoor™ Cecostomy Catheter is percutaneously inserted through an existing mature tract. The multicurl tip configuration provides atraumatic retention within the cecum. The Trapdoor™ catheter enables the patient or patient’s caregiver to administer a phosphate enema through the cecostomy. A saline enema is followed to promote complete evacuation of the contents of the lower bowel through the anal opening. The cecostomy therapy is intended to enable greater independence for patients to manage their fecal incontinence. Supplied sterile in peel-open packages. Intended for one-time use.

Initial Catheter Placement Recommendations

Placement of the Chait Trapdoor™ Cecostomy Catheter is a two-step procedure. Initial cecostomy access is necessary for tract maturation prior to the Trapdoor™ insertion. Dr. Chait recommends the use of a Chait Percutaneous Cecostomy Set which includes a selection of products designed to simplify introduction of the temporary Dawson-Mueller Drainage Catheter and the Chait Trapdoor™ Cecostomy Catheter. The set includes the following products:

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  • Chait Gastrointestinal Suture Anchor Set (GIAS-100-CHAIT) used for initial access.
  • An 8.5 French temporary Dawson-Mueller Drainage Catheter (ULT8.5-38-25-P-5S-CLDM-HC) is then introduced for initial cecostomy enemas following the first week of catheter placement.
  • After 6 weeks of initial cecostomy catheter access, the temporary Dawson-Mueller Drainage Catheter is exchanged over an Amplatz Ultra Stiff Wire Guide (THSF-35-80-AUS) for the Chait Trapdoor™ Cecostomy Catheter (TDCS-100). The patient can proceed with cecostomy enemas using the Trapdoor™ catheter.

References

B. Shandling, P. G. Chait, H. F. Richards: "Percutaneous Cecostomy: A New Technique in the Management of Fecal Incontinence," Journal of Pediatric Surgery, 31 (1996), 534-537.

P. G. Chait, B. Shandling, H. F. Richards: "The Cecostomy Button," Journal of Pediatric Surgery, 32 (1997), 849-851.

P. G. Chait, B. Shandling, H. F. Richards, B. L. Connolly: "Fecal Incon-tinence in Children: Treatment with Percutaneous Cecostomy Tube Placement – A Prospective Study," Radiology, 203 (1997), 621-624.

Educational Materials

Caring for your Temporary & Chait Trapdoor ™ Cecostomy Catheters: A Patient Guide. (PG-TDCS699) Available from Cook Incorporated upon request.

The information on the Cecostomy.com World Wide Web Site has been developed specifically for informational purposes for qualified health care professionals. This material is not intended as a substitute for consulting qualified health care professionals. Patient circumstances will vary and some information may have become outdated as a result of more recent medical developments. The Cecostomy.com developers accept no responsibility for reliance on the information set out in this Web Site. Every effort has been made to ensure the accuracy of drug doses; however readers must confirm and follow the doses and schedules set out by manufacturers. The Cecostomy.com developers accept no responsibility for reliance on the drug doses set out herein.