About Tube Caecostomy
Key Highlights
-
Provides rapid decompression of a distended or obstructed large bowel.Less invasive than a formal colostomy, often performed as a temporary, life-saving measure.Can be performed under local or general anesthesia, depending on patient stability.Helps prevent serious complications like bowel perforation and sepsis.Allows for bowel rest and can be a bridge to more definitive surgery.
Who is this surgery for?
- Acute colonic pseudo-obstruction (Ogilvie's syndrome) unresponsive to medical management.
- Distal large bowel obstruction (e.g., from cancer or stricture) where immediate resection is unsafe.
- As a decompressive procedure for toxic megacolon in selected cases.
- To protect a distal colonic anastomosis after certain surgeries.
- Severe colonic dilation that poses an imminent risk of perforation.
How to prepare
- Comprehensive medical evaluation including imaging (CT scan, X-ray) to confirm diagnosis.
- Correction of fluid and electrolyte imbalances, often with IV fluids.
- Informed consent process detailing the procedure's risks, benefits, and alternatives.
- Bowel preparation may be attempted if time and condition permit, but is often limited.
- Administration of prophylactic antibiotics to reduce infection risk.
- Discussion of anesthesia options (local, regional, or general) based on patient status.
Risks & possible complications
- Infection at the tube insertion site or within the abdomen (peritonitis).
- Leakage of fecal material around the tube or into the peritoneal cavity.
- Bleeding from the insertion site or within the abdomen.
- Accidental injury to nearby structures like the small intestine.
- Tube dislodgement, blockage, or malfunction.
- Persistent fistula (abnormal connection) after tube removal.
- Formation of an abscess near the caecum.
Recovery & hospital stay
- Initial hospital stay for monitoring tube function, drainage, and pain management.
- The tube is connected to a drainage bag to collect output; nurses will monitor its character and volume.
- Intravenous antibiotics and fluids are continued post-operatively.
- Pain at the tube site is managed with medication.
- Gradual advancement to a liquid, then low-residue diet as bowel function returns.
- Patients and caregivers are taught how to care for the tube and skin around the stoma.
- The tube is typically removed once bowel function is normal and the underlying issue is resolved, which may be weeks later.
-
Typical hospital stay: 5-10 days
-
Expected recovery time: 3-6 weeks
Frequently Asked Questions
If you are considering tube caecostomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for tube caecostomy in India include Kamineni Hospital, Tadigadapa, Manipal Hospital Bhubaneswar, Manipal Hospital Mukundapur, Manipal Hospital Dhakuria, Manipal Hospital Malleshwaram, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform tube caecostomy. MediFyr helps you compare general surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for tube caecostomy compare across other countries where we have data.
Top hospitals for Tube Caecostomy in India
These partner hospitals in India have dedicated general surgery teams and experience managing patients undergoing tube caecostomy.
John Kumar, a 72-year-old retired engineer,...
John Kumar, a 72-year-old retired engineer, had been managing chronic diverticulitis for years. Recently, he developed a large bowel obstruction from a severe flare-up, causing agonizing abdominal pain, distension, and an inability to pass stool or gas. Hospitalized and stabilized with IV fluids, a CT scan revealed a complete blockage in his descending colon. His surgeon, Dr. Evans, explained that due to inflammation and John's fragile health, a major resection was too risky. Instead, she recommended a tube caecostomy: a minimally invasive procedure to insert a drainage tube into his caecum (the start of the large bowel) to decompress his colon, relieve the obstruction, and allow the inflammation to settle. John was anxious but understood it was a 'bridge' to avoid emergency surgery. The procedure, done under sedation, went smoothly. For a week, the tube drained liquid stool, providing immediate relief from pain and bloating. After the inflammation subsided, the tube was removed. John recovered fully without needing a major operation. Emotionally, he moved from fear and helplessness during the obstruction to profound relief and gratitude for a solution that prioritized his safety and comfort.
General surgeons for Tube Caecostomy
Explore experienced general surgeons who regularly perform tube caecostomy and provide pre- and post-operative care in India.
- 31 Years Experience
- General surgeon
Miot Hospital Chennai, Chennai
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 18 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 15 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- General surgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 27 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 24 Years Experience
- General surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- General surgeon
- 16 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- General surgeon
Manipal Hospital Whitefield, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 26 Years Experience
- General surgeon
Manipal Hospital Old Airport Road, Bangalore
- 41 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 11 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 10 Years Experience
- General surgeon
Manipal Hospital Patiala, Patiala
- 18 Years Experience
- General surgeon
Manipal Hospital Mysore, Mysore
- 39 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore
- 35 Years Experience
- General surgeon
Manipal Hospital Malleshwaram, Bangalore