Ileocaecostomy: An alternative surgical procedure for antegrade colonic enema

Abstract

HAF. Intraoperative antegrade irrigation of the large intestine. Surg Gynecol Obstet 1983; 156: 3 Keetley CB. Quoted by Corbett RS in a review of the surgical treatment of chronic ulcerative colitis. Proc R Soc Med 1945; 4 Squire R, Kiely EM, Carr B, Ransley PG, Duffy PG. The clinical application of the Malone antegrade colonic enema.

Antegrade continence enema in the treatment of obstructed defaecation with or without faecal incontinence

“…Variations have also been described if the appendix is absent. Caecostomy, caecal flaps [12,13], ileocaecostomy [14] and a short segment of detubularised ileum [15,16] have all been used successfully. In cases where slow transit constipation is not found, a left-sided ACE may be used.…”

Long-Term Results of Antegrade Colonic Enema in Adult Patients: Assessment of Functional Results

“…2). They reported (14) 3 (23) emptying problems after surgery to be much less (n=8) and less (n=17). Among 19 patients treated for fecal incontinence 12 (63 percent) used ACE at follow-up (Fig.…”

“…6,11,16,23 Data Collection and Statistical Analysis Demographic data and information about disability, indication, primary pathology, colon transit time, date of operation, type of operation, simultaneous urologic procedures, and perioperative complications were obtained from patient charts.…”

Outcome of antegrade continence enema procedures for faecal incontinence in adults

“…Initially described in children 7,8 , colonic antegrade enema has been developed to complete colonic emptying to achieve faecal continence in adults 9 . Alternative operations have been developed for patients who have had an appendicectomy or an atrophic appendix: a conduit fashioned with a tubularized caecum 10 or the ileum 11,12 . The aim of this study was to evaluate these procedures for the treatment of faecal incontinence in adults with a specific focus on quality of life results.…”