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Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis

Chinese Herbal Retention Enema for the Treatment of Ulcerative Colitis

Published on: May 16, 2025

Antegrade continence enema (ACE): current practice.

Chandrasen Kumar Sinha¹, Alka Grewal, Harry C Ward

¹Royal London Hospital, London, UK. cksinha@btinternet.com

Pediatric Surgery International

|April 15, 2008

Summary

This summary is machine-generated.

The antegrade continence enema (ACE) procedure shows high success rates for treating constipation and related conditions. Recent technique improvements have led to better outcomes and continence in pediatric patients.

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Area of Science:

Pediatric Surgery
Gastroenterology
Urology

Background:

The antegrade continence enema (ACE) procedure is a surgical technique used to manage fecal incontinence.
Recent advancements in surgical techniques and stoma care have potentially improved ACE procedure outcomes.

Purpose of the Study:

To evaluate the current status and outcomes of the antegrade continence enema (ACE) procedure.
To assess the impact of recent technical improvements on ACE procedure efficacy.

Main Methods:

Retrospective review of 48 patients who underwent ACE procedures between 2002 and 2007.
Systematic literature search of 24 studies involving 676 patients for the same period.
Analysis of diagnoses, surgical approaches, stoma sites, complications, and continence rates.

Main Results:

High continence rates were achieved (92% in the reviewed cases, 93% in the literature).
Idiopathic constipation was the most common indication (56%).
Appendix was the most frequent stoma conduit (73-76%), with low rates of stenosis requiring revision (6-13%).

Conclusions:

The antegrade continence enema (ACE) procedure remains an effective treatment for fecal incontinence in children.
Significant improvements in outcomes have been observed, likely due to advancements in surgical techniques, stoma care, and appliances.