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Updated: Aug 16, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
Published on: October 29, 2014
Malone antegrade colonic irrigation: ileal neoappendicostomy is the preferred procedure in adults
Guillaume Portier1, Laurent Ghouti, Sylvain Kirzin
1Service de Chirurgie Digestive, CHU Purpan, Place du Dr. Baylac, 31059, Toulouse Cedex, France. portier.g@chu-toulouse.fr
Background:
Antegrade colonic enema, via a caecal access [Malone antegrade continence enema (MACE)], is proposed to selected patients suffering from incontinence and/or constipation when other therapeutic modalities have failed.
Methods:
We compared complication rates after three MACE techniques: appendicostomy, caecal neoappendicostomy, and ileal neoappendicostomy in 28 adult patients having 31 MACE operations.
Results:
Stenoses and leakages occurred more frequently after appendicostomy and caecal flap than after ileal neoappendicostomy. This latter technique appears to reduce morbidity for adult patients.
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