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 Vol. 22 No. 5, November 2009
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AAP Grand Rounds 22:57 (2009)
© 2009 American Academy of Pediatrics

SURGERY

Long-term Use of Antegrade Continence Enema

Source: Yardley IE, Pauniaho S, Baillie CT, et al. After the honeymoon comes divorce: long-term use of the antegrade continence enema procedure. J Pediatr Surg.2009;44(5):1274–1277; doi:10.1016/j.jpedsurg.2009.02.030[CrossRef][Medline]

The first 20% of the full text of this article appears below.


PICO

Question: Among children with fecal incontinence who underwent the antegrade continence enema procedure, what is the rate of long-term use and what factors lead to discontinued use?

Question type: Prognosis

Study design: Survey

 

The antegrade continence enema (ACE) procedure involves the construction of an abdominal wall stoma using the appendix as the conduit from the skin level in the right lower quadrant into the cecum; this allows access for antegrade irrigations on a regular and scheduled basis to provide effective colonic washout in patients with refractory chronic constipation. Investigators from Alder Hey Children’s Hospital in Liverpool, England, sought to determine the long-term use of ACE. All children who had an ACE at a single tertiary care center between 1993 and 1997 were surveyed to determine if they were still using . . . [Full Text of this Article]

Clinton M. Cavett, MD, FAAP
Carilion Clinic Children’s Hospital, Roanoke, VA