THE MALONE ANTEGRADE CONTINENCE ENEMA FOR NEUROGENIC AND STRUCTURAL FECAL INCONTINENCE AND CONSTIPATION

被引:75
作者
KOYLE, MA [1 ]
KAJI, DM [1 ]
DUQUE, M [1 ]
WILD, J [1 ]
GALANSKY, SH [1 ]
机构
[1] UNIV COLORADO,SCH MED,DEPT SURG,DENVER,CO
关键词
ENEMA; CECUM; CECOSTOMY; APPENDIX;
D O I
10.1016/S0022-5347(01)67155-6
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Problems of fecal elimination are commonly encountered by the pediatric urologist and surgeon. The Malone antegrade continence enema has been described as a means to administer a large volume enema via a continent catheterizable appendicocecostomy, resulting in reliable fecal elimination. Of 22 patients undergoing this procedure 16 reported total continence 4 months or longer after surgery. Complications are relatively minor and tap water appears to be a safe solution for the antegrade continence enema. A nonrefluxing, imbricated appendicocecostomy is preferable to prevent cutaneous fecal or gas leaks.
引用
收藏
页码:759 / 761
页数:3
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