Antegrade Colonic Enema (ACE)

  • Brooke Gurland
  • Crina V. Floruta
  • Ian C. Lavery


Retrograde rectal irrigation through various enema techniques is a well-accepted practice to empty the lower bowel and to relieve constipation and fecal soiling in patients with functional bowel disorders [1]. However, retrograde enemas can be technically challenging for elderly and disabled patients and may require caregiver assistance. For the patient with severe bowel dysfunction who is contemplating a permanent colostomy, the antegrade colonic enema (ACE) procedure may be a viable option.


Fecal Incontinence Intermittent Catheterization Permanent Colostomy Functional Bowel Disorder Stoma Creation 
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Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Brooke Gurland
    • 1
  • Crina V. Floruta
    • 1
  • Ian C. Lavery
    • 1
  1. 1.Department of Colorectal Surgery, Digestive Disease InstituteCleveland Clinic FoundationClevelandUSA

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