A third option is to place a tube into the cecum (cecostomy) through a small incision in the abdomen.

A percutaneous cecostomy tube is an alternative to a MACE.

Percutaneous cecostomy procedures, like MACEs, have been performed laparoscopically.

This procedure involves the surgical creation of a stoma, (either an appendicostomy, cecostomy, or sigmoidostomy) which thereafter functions as an irrigation port.

The stoma may be a gastrostomy, enterostomy or cecostomy, and may also be used to feed or flush the intestines.