Left colonic antegrade continence enema: experience gained from 19 cases

Kim, Sang Woo; Han, Sang Won; Choi, Seung Hoon

doi:10.1016/j.jpedsurg.2006.05.048

Cited by 13 publications

(4 citation statements)

References 15 publications

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“…13 Some authors have had good results with left colonic antegrade continence enema (LACE) in patients with slow left colon. 14,15 However, in accordance with the study by Lemelle et al, 16 we found that in patients with myelodysplasia ACE in the right colon is effective.…”

Section: Discussionsupporting

confidence: 89%

Antegrade Continence Enema in the Treatment of Congenital Fecal Incontinence Beyond Childhood

Koivusalo

Pakarinen²,

Pauniaho³

et al. 2008

Diseases of the Colon &Amp; Rectum

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Section: Discussionsupporting

confidence: 89%

Antegrade Continence Enema in the Treatment of Congenital Fecal Incontinence Beyond Childhood

Koivusalo

Pakarinen²,

Pauniaho³

et al. 2008

Diseases of the Colon &Amp; Rectum

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“…Generally these children (especially those with neurogenic causes) have a dilated ascending and transverse colon, and it is physiologically more suitable to deliver the enema fluid at the place where the stool is hardest (left colon), which will result in effective and early bowel evacuation with less problem of water absorption and abdominal pain. One study has mentioned that LACE is not only comparable to RACE, but also quite satisfactory for children and their caregivers [12]. In our review, we found that the indications for the LACE procedure were similar to those for the RACE procedure and that the mean age of operation was also the same.…”

supporting

confidence: 65%

Left Antegrade Continent Enema (LACE): Review of the Literature

2008

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“…Some authors favoured placing the stoma into the umbilical fold, rendering it virtually invisible to others [9,11]. Other authors preferred to use the left side of abdomen as stoma [12][13][14]. While most (over 75%) of the authors used the appendix to make the stoma, others used retubularised ileum, open caecal button, caecostomy tube and retubularised colon (descending, transverse and sigmoid) [14][15][16][17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Antegrade continence enema (ACE): current practice

2008

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The purpose of this study was to assess current status of antegrade continence enema (ACE) procedure taking into account the recent improvement in the technique and outcome. Reviewing our record of 48 patients with ACE procedure performed between January 2002 and May 2007, we found that the underlying diagnoses were idiopathic constipation in 56%, anorectal malformation in 31%, spina bifida in 8% and Hirschsprung's disease in 4%. Mean age of operation was 10.7 years. Appendix was used as stoma in 73% of cases. Stomal stenosis requiring revision was seen in 6% of cases and continence was achieved in 92% of cases. A systematic search of database was performed for the same period. Twenty-four studies describing 676 patients were found. The mean age was 10 years and various sites used for ACE were, right side of abdomen in 71%, umbilicus in 15% and left side of abdomen in 14%. The incidence of open and laparoscopic procedures were 87 and 13%, respectively. Appendix was used for stoma in 76% procedures. Other operative modalities were retubularised colon, retubularised ileum, caecal button and caecostomy tube, etc. The mean volume of enema fluid used was 516 ml. The mean evacuation time was 42 min. Stomal stenosis requiring revision was seen in 13% of cases. Continence was achieved in 93% of cases. There has been significant improvement in the outcome during last 5 years in comparison to the outcome published in late 1990s. Advancements in techniques, better-trained stoma care nurses and better stoma appliances could have played major role in this success.

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Left colonic antegrade continence enema: experience gained from 19 cases

Cited by 13 publications

References 15 publications

Antegrade Continence Enema in the Treatment of Congenital Fecal Incontinence Beyond Childhood

Antegrade Continence Enema in the Treatment of Congenital Fecal Incontinence Beyond Childhood

Left Antegrade Continent Enema (LACE): Review of the Literature

Antegrade continence enema (ACE): current practice

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