Malone Antegrade Continence Enemas vs. Cecostomy vs. Transanal Irrigation—What Is New and How Do We Counsel Our Patients?

Kelly, Maryellen S.

doi:10.1007/s11934-019-0909-1

Cited by 25 publications

(32 citation statements)

References 48 publications

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“…ACEs can be used to achieve antegrade colonic irrigation through either a tube caecostomy or appendicostomy (Malone procedure) [117]. Good clinical outcomes have been reported in children with spina bifida or slow-transit constipation [118]; however, adults and patients with colonic dysmotility have lower published success rates [118].…”

Section: Antegrade Continence Enema (Ace)mentioning

confidence: 99%

Chronic constipation in adults: Contemporary perspectives and clinical challenges. 2: Conservative, behavioural, medical and surgical treatment

Corsetti

Brown

Chiarioni

et al. 2021

Neurogastroenterology Motil

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Section: Antegrade Continence Enema (Ace)mentioning

confidence: 99%

Chronic constipation in adults: Contemporary perspectives and clinical challenges. 2: Conservative, behavioural, medical and surgical treatment

Corsetti

Brown

Chiarioni

et al. 2021

Neurogastroenterology Motil

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“…It has been shown that MACE is effective in maintaining socially continent status as well as improving quality of life. 6,7 Despite of these benefits, it carries some risks, such as stoma incontinence and stenosis. 8 Therefore, concomitant anti-reflux and plastic procedures were developed to reduce the occurrence of these complications.…”

Section: Introductionmentioning

confidence: 99%

Transumbilical laparoscopy-assisted Malone procedure for fecal incontinence in children

Huang

Duh

Chang

et al. 2022

Pediatrics & Neonatology

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Pediatrics and Neonatology xxx (xxxx) xxxdisrupted after an episode of enterocolitis. All patients were socially continent with antegrade enemas. 12 patients were stoma continent, and 3 patients had minor leaking less than once a month. The stoma cosmesis was satisfactory. All parents expressed satisfaction with TULAM. Conclusion: TULAM is effective in the management of fecal incontinence and constipation, and provides a continent stoma with excellent cosmesis.

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“…1 [19]. The guidelines should be individualized to meet the medical, developmental, and social needs of the child and young adult with spina bifida [11,19,22].…”

Section: Resultsmentioning

confidence: 99%

Bowel function and care: Guidelines for the care of people with spina bifida

Beierwaltes

Church

Gordon

et al. 2020

PRM

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PURPOSE: Bowel dysfunction, such as constipation and fecal incontinence, has a significant impact on health, activities of daily living, and quality of life among people with spina bifida. Secondary complications may result from bowel dysfunction and include urologic dysfunction, loss of skin integrity, shunt (hydrocephalus) function, as well as loss of social opportunities and employability. METHODS: Using a consensus building methodology, the guidelines for management of bowel dysfunction in spina bifida were written by experts in the field of spina bifida and bowel function and care. RESULTS: The evidence-based guidelines are presented in table format and provide age-specific recommendations to achieve fecal continence without constipation. Recommended treatments are presented from least to most invasive options. Literature supporting the recommendations and the interval research published to date is also presented. CONCLUSION: These guidelines present a standardized approach to management of bowel dysfunction in spina bifida. Bowel management in children and young adults with spina bifida is limited by variability in clinical practice and paucity of robust research in neurogenic bowel. Collaborative multi-institutional efforts are needed to overcome research barriers and provide innovative solutions.

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Malone Antegrade Continence Enemas vs. Cecostomy vs. Transanal Irrigation—What Is New and How Do We Counsel Our Patients?

Cited by 25 publications

References 48 publications

Chronic constipation in adults: Contemporary perspectives and clinical challenges. 2: Conservative, behavioural, medical and surgical treatment

Chronic constipation in adults: Contemporary perspectives and clinical challenges. 2: Conservative, behavioural, medical and surgical treatment

Transumbilical laparoscopy-assisted Malone procedure for fecal incontinence in children

Bowel function and care: Guidelines for the care of people with spina bifida

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