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Left colonic antegrade continence enema: experience gained from 19 cases

Authors
 Seong Min Kim  ;  Sang Won Han  ;  Seung Hoon Choi 
Citation
 JOURNAL OF PEDIATRIC SURGERY, Vol.41(10) : 1750-1754, 2006 
Journal Title
 JOURNAL OF PEDIATRIC SURGERY 
ISSN
 0022-3468 
Issue Date
2006
MeSH
Adolescent ; Adult ; Child ; Child, Preschool ; Colon/surgery* ; Colostomy ; Digestive System Surgical Procedures/adverse effects ; Digestive System Surgical Procedures/methods* ; Enema/adverse effects ; Enema/methods* ; Fecal Incontinence/surgery ; Fecal Incontinence/therapy* ; Female ; Humans ; Ileostomy ; Male ; Retrospective Studies ; Treatment Outcome
Keywords
Left antegrade continence enema ; Fecal incontinence ; Constipation ; Retubularized ileum ; Retubularized sigmoid colon
Abstract
PURPOSE: As problems have developed with the right colonic antegrade continence enema procedure (Malone's procedure/Monti's retubularized ileocolostomy), left colonic antegrade continence enema (LACE) procedure, in which retubularized ileum or sigmoid colon is anastomosed into the sigmoid colon, has gained popularity. The aim of the study was to describe our experience with the LACE procedure. METHODS: We retrospectively reviewed 19 LACE procedures that were performed at the Yonsei University College of Medicine Hospital (Seoul, Korea) from March 2001 to March 2005. RESULTS: Male-to-female ratio was 11:8, with median age of 10 years (range, 3-34 years). Most common diagnosis was meningomyelocele (78.9%, 15/19). The median total follow-up period was 23 months (range, 3-37 months); median antegrade continence enema volume used was 600 mL (range, 250-1500 mL); and median transit time was 30 minutes (range, 15-60 minutes). Patients performed antegrade continence enema with an average of once every 2 days (range, 0.3-3 days). Social continence was achieved in 14 patients (73.7%). Regurgitation of fecal material through stoma was not reported at all in 17 patients (89.5%). CONCLUSIONS: We recommend LACE as the procedure of choice for children with congenital malformations or any other condition predisposing to fecal incontinence or constipation intractable to conventional treatment.
Full Text
http://www.sciencedirect.com/science/article/pii/S0022346806004052
DOI
10.1016/j.jpedsurg.2006.05.048
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Urology (비뇨의학교실) > 1. Journal Papers
Yonsei Authors
Choi, Seung Hoon(최승훈)
Han, Sang Won(한상원) ORCID logo https://orcid.org/0000-0003-0941-1300
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109179
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