{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T06:54:51Z","timestamp":1782456891922,"version":"3.54.5"},"reference-count":11,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,6,16]],"date-time":"2022-06-16T00:00:00Z","timestamp":1655337600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Percutaneous endoscopic colostomy (PEC) represents an important intervention in specific patients. Limited data currently exist. We present the largest recorded study of patients undergoing PEC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective analysis of consultant logbooks highlighted all patients from 1997 to 2020. Two independent reviewers assessed records. Parameters measured were age, sex, indication, number of sites, complications, mortality and survival. Three subgroups were identified: recurrent sigmoid volvulus (RSV), pseudo\u2010obstruction and neurogenic. ANOVA, chi\u2010squared and Fischer's exact tests were utilized; Kaplan\u2013Meier curves estimated survival and the log\u2010rank test was applied. A <jats:italic>p<\/jats:italic> value of &lt;0.05 was considered statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Ninety\u2010six PEC insertions were done on 91 patients (five reinsertions). There were 66 men (69%) and the mean age was 73.1\u2009years (interquartile range 23). The indications were RSV <jats:italic>n<\/jats:italic>\u00a0=\u00a072, pseudo\u2010obstruction <jats:italic>n<\/jats:italic>\u00a0=\u00a013, neurogenic <jats:italic>n<\/jats:italic>\u00a0=\u00a011. The 30\u2010day complication rate was overall <jats:italic>n<\/jats:italic>\u00a0=\u00a027 (28%), RSV <jats:italic>n<\/jats:italic>\u00a0=\u00a023, pseudo\u2010obstruction <jats:italic>n<\/jats:italic>\u00a0=\u00a04. Nine patients leaked (9.9%) (eight RSV, one pseudo\u2010obstruction), of whom five died. 90\u2010day mortality was 14.6% (14 patients), 18.5% (13\/72) for RSV, 7.7% (1\/13) for pseudo\u2010obstruction. Overall recurrence following PEC was 10.4%. The median follow\u2010up was 25\u2009months (interquartile range 4.6\u201362.2\u00a0months). At 3, 5 and 10\u2009years survival was 46%, 34% and 26% for RSV, 70%, 55% and 15% for pseudo\u2010obstruction and 91%, 91% and 81% for neurogenic respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Recurrent sigmoid volvulus and pseudo\u2010obstruction patients undergoing PEC compared to neurogenic patients have poorer outcomes with higher complication rates and shorter life expectancy. We advocate that high volume specialist units undertake PEC. The significant associated risks of PEC require careful consideration when determining patient suitability. Utilizing risk stratification scores may help guide shared decision making between patients, relatives and clinicians.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.16207","type":"journal-article","created":{"date-parts":[[2022,6,3]],"date-time":"2022-06-03T06:05:07Z","timestamp":1654236307000},"page":"1390-1396","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A single centre 20\u2010year retrospective cohort study: Percutaneous endoscopic colostomy"],"prefix":"10.1111","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4216-4786","authenticated-orcid":false,"given":"Nicholas","family":"Farkas","sequence":"first","affiliation":[{"name":"Western Sussex Hospitals NHS Trust  Worthing UK"},{"name":"General Surgical Department St Richards Hospital  Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross","family":"Kenny","sequence":"additional","affiliation":[{"name":"Western Sussex Hospitals NHS Trust  Worthing UK"},{"name":"General Surgical Department St Richards Hospital  Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Conroy","sequence":"additional","affiliation":[{"name":"Western Sussex Hospitals NHS Trust  Worthing UK"},{"name":"General Surgical Department St Richards Hospital  Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Harris","sequence":"additional","affiliation":[{"name":"Western Sussex Hospitals NHS Trust  Worthing UK"},{"name":"General Surgical Department St Richards Hospital  Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chukwuemeka","family":"Anele","sequence":"additional","affiliation":[{"name":"Western Sussex Hospitals NHS Trust  Worthing UK"},{"name":"General Surgical Department St Richards Hospital  Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jay","family":"Simson","sequence":"additional","affiliation":[{"name":"Western Sussex Hospitals NHS Trust  Worthing UK"},{"name":"General Surgical Department St Richards Hospital  Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruce","family":"Levy","sequence":"additional","affiliation":[{"name":"Western Sussex Hospitals NHS Trust  Worthing UK"},{"name":"General Surgical Department St Richards Hospital  Chichester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,16]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"NICEGuideline. Percutaneous endoscopic colostomy Interventional procedures guidance. IPG161 NICE;2006."},{"issue":"4","key":"e_1_2_12_3_1","first-page":"477","article-title":"Percutaneous endoscopic colostomy: a useful technique when surgery is not an option","volume":"29","author":"Tun G","year":"2016","journal-title":"Ann Gastroenterol"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.2000.01537.x"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10350-004-6273-2"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5858"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2007.01.012"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-106957"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1308\/rcsann.2020.0162"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181b13ca2"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.07.045120"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e31828c88ac"}],"container-title":["Colorectal Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.16207","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/codi.16207","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/codi.16207","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T20:04:12Z","timestamp":1692648252000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/codi.16207"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,16]]},"references-count":11,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1111\/codi.16207"],"URL":"https:\/\/doi.org\/10.1111\/codi.16207","archive":["Portico"],"relation":{},"ISSN":["1462-8910","1463-1318"],"issn-type":[{"value":"1462-8910","type":"print"},{"value":"1463-1318","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,16]]},"assertion":[{"value":"2022-03-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-24","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-16","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}