The antegrade continence enema successfully treats idiopathic slow-transit constipation

King, Sebastian K.; Sutcliffe, Jonathan; Southwell, Bridget R.; Chait, Peter; Hutson, John M.

doi:10.1016/j.jpedsurg.2005.08.011

Cited by 83 publications

(68 citation statements)

References 42 publications

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“…Conservative management of ORIS is generally successful [2][3][4][5]. The aim of the treatment is to achieve and maintain regular bowel movements free of symptoms [1,6].…”

Section: Introductionmentioning

confidence: 99%

Contrast enema as a guide for senna-based laxatives in managing overflow retentive stool incontinence in pediatrics

2015

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“…Conservative management of ORIS is generally successful [2][3][4][5]. The aim of the treatment is to achieve and maintain regular bowel movements free of symptoms [1,6].…”

Section: Introductionmentioning

confidence: 99%

Contrast enema as a guide for senna-based laxatives in managing overflow retentive stool incontinence in pediatrics

2015

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“…More frequent or continuous leakage may cause hygiene and social problems. In a recent study by King et al [10], 16 (38%)of 42 patients who had ACE for idiopathic slow transit constipation experienced washout leakage, but the leakage was an actual concern for two patients only. In a series by Hensle et al [11], 27 spina bifida patients with ACE, including nine with tubularized caecal flap and three with small bowel neoappendix, no leakages were reported within 9 months of the surgery.…”

Section: Discussionmentioning

confidence: 92%

Treatment of a leaking ACE conduit with Deflux injections

2006

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Faecal leakage from the catheter conduit can be troublesome and reduces the convenience of use of antegrade continence enema (ACE). We report the results of Deflux injection treatment for leaking ACE conduits in nine patients. From 1994 to the end of 2005, 81 patients underwent a procedure for ACE [appendicostomy with wrap (AW) n = 29, appendicostomy straight (AS) n = 44, Monti-Yang ileal tube (MY) n = 5, lateral caecal flap (LCF) n = 1, caecal tube (CT) n = 1, sigmoid tube (ST) n = 1]. Nine (11%) patients (AW n = 3, AS n = 1, MY n = 3, LCF n = 1, ST n = 1) had persistent stomal leak and underwent Deflux injections of the ACE conduit. With the patients in general anaesthesia, the conduit was visualised with CH10.5 cystoscope. At the junction of the conduit and colon, 0.5-1.0 ml of Deflux was injected submucosally at three sites to create intermingling mounds in order to narrow the conduit. After the injections, a balloon catheter was left in the conduit for 3-7 days. When necessary, the injections were repeated. The result was graded as no improvement, moderate improvement, significant improvement. Nine patients underwent a median of 2 (range 1-4) injections. No major complications occurred. The results after a median follow-up of 22 (range 3-53) months from the first injection were as follows: no improvement (n = 1), moderate improvement (n = 5), significant improvement (n = 3). Repeated injection of the ACE conduit with Deflux is a low invasive method and provides moderate to good results in the majority of the patients who suffer from faecal leakage from conduit.

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“…An Open Access Publisher appendicostomy [9,10] or cecostomy is often effective. In adult patients, colonic resection has been advocated [11].…”

Section: Open Accessmentioning

confidence: 99%

Lumbosacral transcutaneous electrical stimulation in children with slow transit constipation: A pilot case series

Singh¹,

Uhlmann²,

M³

et al. 2017

J Hepatol Gastroenterol.

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The antegrade continence enema successfully treats idiopathic slow-transit constipation

Cited by 83 publications

References 42 publications

Contrast enema as a guide for senna-based laxatives in managing overflow retentive stool incontinence in pediatrics

Contrast enema as a guide for senna-based laxatives in managing overflow retentive stool incontinence in pediatrics

Treatment of a leaking ACE conduit with Deflux injections

Lumbosacral transcutaneous electrical stimulation in children with slow transit constipation: A pilot case series

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