LAPEC Procedure for Severe Constipation in Adults

Severe constipation can be a tough health issue to manage, especially when diet changes and medications like laxatives don't provide enough relief. In such cases, doctors might consider surgical options. One such procedure is the Laparoscopic-Assisted Percutaneous Endoscopic Cecostomy (LAPEC), which is a less invasive method that allows patients to administer osmotic agents directly to the right colon. While LAPEC has shown promise in young adults and children, there's limited data on its effectiveness and safety in adults. This study aims to fill this gap by evaluating the short and long-term benefits and risks of LAPEC in adults with severe constipation. In this study, participants will undergo the LAPEC procedure, which involves the placement of a catheter. The primary goal is to measure the improvement in quality of life related to bowel movements. This will be assessed using a questionnaire called the Knowles Eccersley Scott Symptom (KESS) score, which helps diagnose constipation and measure its severity. A successful treatment is defined as a decrease of at least 50% in the KESS score compared to the baseline, at 3 and 6 months after the catheter placement.