Assessment of pediatric Malone antegrade continence enema (MACE) complications: Effects of variations in technique

Outcomes and satisfaction in pediatric patients with Chait cecostomy tubes

“…MACE patients can develop stool leakage or stomal stenosis causing difficulty catheterizing for irrigation. As described by Saikaly et al, they identified that leakage from and stenosis with the MACE occurred in 24% and 27%, respectively, within their study cohort [13]. These complications necessitate surgical revision, requiring repeated general anesthetics, and the complications may be recurrent in 30% of patients [14].…”

A New Appendicostomy Technique to Prevent Stomal Stenosis

“…Contemporary large series demonstrate stenosis in 12 to 45% of patients. [3][4][5][6][7][8][9][10][11][12]17,18 Some institutions have recommended leaving a "stopper" in place for 6 months or forever. 19 In this analysis we have tried to evaluate every known variable that has been associated with stenosis.…”

“…The most common complication after appendicostomy is stoma stenosis reported to occur between 12 and 45% of patients. [3][4][5][6][7][8][9][10][11][12] A testament to the high incidence of stenosis is the preponderance of stoma techniques. Most of these are directed to non-umbilical stomas with creation of skin flaps that drop below the skin surface such that the mucosa is hidden.…”

Assessment of Needs in Children Suffering From Refractory Non-neurogenic Urinary and Fecal Incontinence and Their Caregivers' Needs and Attitudes Toward Alternative Therapies (SNM, TENS)

“…These include botulinum toxin injections for urinary incontinence and transanal irrigation and anterograde continence enema for fecal incontinence. However, these surgical alternatives can be burdensome for the patient, are not always successful and carry their own risks of morbidity ( 9 – 11 ).…”