Endoscopic Removal of a Fecalith or Fecomucolith in a Rectal Stump or Pouch.
- Resource Type
- Academic Journal
- Authors
- Yeap E; Department of Colorectal Surgery, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia.; Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia.; Ratinam R; Department of Colorectal Surgery, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia.; Arachchi A; Department of Colorectal Surgery, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia.; Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Clayton, VIC, Australia.; Lim J; Department of Colorectal Surgery, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia.; Tay YK; Department of Colorectal Surgery, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia.; Duieb Z; Department of Colorectal Surgery, Monash Health, Dandenong Hospital, Dandenong, VIC, Australia.
- Source
- Publisher: Korean Society of Coloproctology Country of Publication: Korea (South) NLM ID: 101605121 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2287-9714 (Print) Linking ISSN: 22879714 NLM ISO Abbreviation: Ann Coloproctol Subsets: PubMed not MEDLINE
- Subject
- Language
- English
- ISSN
- 2287-9714
Fecaliths or fecomucoliths can form in rectal stumps after a Hartmann procedure or in a coloneovaginal conduit. They can cause significant distress to the patient by causing symptoms such as discharge and odor. We describe a novel and effective method of endoscopic obliteration and removal where other techniques such as removal during examination under anesthesia or serial enemas have failed. By using a combination of hydrodissection with a saline injector gun and biopsy forceps and a polypectomy snare to break down the fecomucolith or fecalith, this troublesome problem can be resolved endoscopically. Successful removal of the fecalith/fecomucolith and resolution of the symptoms for the patients were achieved. No complications are reported. We describe an effective and novel method for endoscopic removal of fecaliths and fecomucoliths.