The Malone Antegrade Colonic Enema Isolated or Associated With Urological Incontinence Procedures: Evaluation From Patient Point of View

Bau, Mariella; Younes, Shadi; AUPY, A.; Bernuy, M.; Rouffet, M.-J.; Yepremian, Daniel; Lottmann, Henri

doi:10.1016/s0022-5347(05)66214-3

Cited by 19 publications

(3 citation statements)

References 18 publications

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“…Conventional therapies including diet, bulking agents, oral cathartics and stool softeners, suppositories and enemas, digital stimulation and digital evacuation often failed to achieve satisfactory and prolonged results. ACE offers the patient the opportunity to restore better bowel control, 9 thus there has been increased interest in the management of faecal incontinence 10 …”

Section: Discussionmentioning

confidence: 99%

A multicentre study of the management of disorders of defecation in patients with spina bifida

Lemelle

Guillemin

Aubert

et al. 2006

Neurogastroenterology Motil

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Patients with spinal dysraphism may have severe constipation and faecal incontinence. The impact of antegrade colonic enema (ACE) in the management of patients with spina bifida (SB) is analysed. In a multicentre cross-sectional study, constipation, faecal incontinence and faecal management were described. Cases surgically treated were identified. Data were collected from 423 patients, of whom 230 did not use any manoeuvre or laxatives to assist evacuation. Conventional treatment was used in 193 patients, including digital extraction in 39%, retrograde enema in 21% and oral laxatives in 52%. For intractable constipation and overflow of faecal incontinence, 47 patients were treated with ACE, of whom 41 used the method at a mean time of interview of 4.1 +/- 1.9 years after ACE operation; six abandoned ACE for conventional management. With ACE, faecal continence was significantly improved compared with conventional management, and neither retrograde rectal enema nor digital extraction were required. The conduit was fashioned to the right colon in 32 cases and to the left colon in nine cases. This study provides information on a multicentre experience in bowel management in SB patients. Whatever the technique used, ACE has improved faecal status compared with conventional therapy.

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Section: Discussionmentioning

confidence: 99%

A multicentre study of the management of disorders of defecation in patients with spina bifida

Lemelle

Guillemin

Aubert

et al. 2006

Neurogastroenterology Motil

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“…2001, Barqawi et al. 2004), limited improvements in quality of life (Bau et al. 2001) and low levels of self‐management (Perez et al.…”

Section: Introductionmentioning

confidence: 99%

A qualitative study of the pre‐operative preparation of children, young people and their parents’ for planned continence surgery: experiences and expectations

Bray

Callery

Kirk

2012

Journal of Clinical Nursing

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Aim. The aim of this study is to explore children's, young people's and parents' pre-operative experiences of continent stoma formation. Background. Current research investigating continent stoma surgery focuses on surgical outcomes including complication rates, adherence to management regimes, self-management practices and levels of continence achieved. Despite reports of preoperative anxiety in families undergoing continent stoma surgery, there has been a lack of research exploring pre-operative experiences, information needs or decision-making processes in this group. Design. A qualitative study. Methods. Forty-nine semi-structured interviews were conducted with 17 children, young people and their parents. Data were collected at key points in the surgical process that aimed to represent a longitudinal perspective of continent stoma formation. Results. The interviews suggested that children's, young people's and parents' information needs in relation to the long-term implications of surgery and for their day-to-day lives were not being adequately met. The preparation process was described as being positively influenced by contact with a nurse specialist, being given time to make the decision and having access to different sources of information. Conclusion. Decisions regarding life-long planned surgery can be challenging. The individual involvement and information needs of children, young people and their parents need to be recognised during pre-operative preparation. Relevance to clinical practice. Health professionals need to discuss the holistic implications of continent stoma surgery and provide families with the time and opportunity to consider surgery and access relevant sources of information pre-operatively.

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“…La mayoría de los pacientes con neuropatías causantes de vejiga neurogénica presentan también alteraciones de la función colónica y ano-rectal que provocan incontinencia fecal, por lo cual en algunos pacientes se realizan procedimientos que permitan la realización de enemas anterógrados como es el Malone [14][15][16][17][18][19][20][21] .…”

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Resultados del uso de la técnica de mitrofanoff en pacientes con disfunción neurógena de la vejiga: análisis de la experiencia en el hospital universitario san vicente de paul

Rave¹,

Varela²,

sanín

et al. 2009

Actas Urológicas Españolas

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The Malone Antegrade Colonic Enema Isolated or Associated With Urological Incontinence Procedures: Evaluation From Patient Point of View

Cited by 19 publications

References 18 publications

A multicentre study of the management of disorders of defecation in patients with spina bifida

A multicentre study of the management of disorders of defecation in patients with spina bifida

A qualitative study of the pre‐operative preparation of children, young people and their parents’ for planned continence surgery: experiences and expectations

Resultados del uso de la técnica de mitrofanoff en pacientes con disfunción neurógena de la vejiga: análisis de la experiencia en el hospital universitario san vicente de paul

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