Abstract
Antegrade continence enemas can be used to control fecal incontinence caused by neurogenic bowel. Creating a conduit can become a problem when the appendix is unsuitable for use. This paper describes a procedure using a tapered terminal ileum conduit for use with antegrade continence enemas in place of the appendix. This procedure has been attempted and successfully completed on two pediatric patients with good results at 6-month follow-up. The tapered terminal ileum conduit is an option for creating a conduit for antegrade continence enemas in patients without a suitable appendix.
Similar content being viewed by others
References
Malone PS, Ransley PG, Kiely EM (1990) Preliminary report: the antegrade continence enema. Lancet 336(8725):1217–1218
Marsh PJ, Kiff ES (1996) Ileocaecostomy: an alternative surgical procedure for antegrade colonic enema. Br J Surg 83:507–8
Griffiths DM, Malone PS (1995) The Malone antegrade continence enema. J Pediatr Surg 30(1):68–71
Calado AA, Macedo A Jr et al (2005) The Macedo–Malone antegrade continence enema procedure: early experience. J Urol 173(4):1340–1344
Kurzrock EA, Karpman E, Stone AR (2004) Colonic tubes for the antegrade continence enema: comparison of surgical technique. J Urol 172(2):700–702
McAndrew HF, Malone PS (2002) Continent catheterizable conduits: which stoma, which conduit and which reservoir? BJU Int 89(1):86–89
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Surfield, G.A., Andrews, D.A. Tapered terminal ileum conduit for antegrade continence enemas. Ped Surgery Int 21, 989–990 (2005). https://doi.org/10.1007/s00383-005-1535-1
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00383-005-1535-1