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Preliminary report: the antegrade continence enema
P S Malone1, P G Ransley, E M Kiely
1Wessex Regional Centre for Paediatric Surgery, Southampton General Hospital, UK.
Lancet (London, England)
|November 17, 1990
Summary
This study combined antegrade colonic washout with the Mitrofanoff procedure to create a continent catheterisable colonic stoma. This novel approach successfully prevented soiling in five patients with severe fecal incontinence.
Area of Science:
- Surgical Innovation
- Gastroenterology
- Urology
Background:
- Intractable fecal incontinence poses significant challenges to patient quality of life.
- Existing management strategies may be insufficient for severe cases.
Purpose of the Study:
- To develop and evaluate a novel surgical technique for managing intractable fecal incontinence.
- To create a continent catheterisable colonic stoma for improved bowel management.
Main Methods:
- Combined principles of antegrade colonic washout with the Mitrofanoff non-refluxing catheterisable channel.
- Created a continent catheterisable colonic stoma in five patients.
Main Results:
- The procedure successfully achieved complete colonic emptying in all treated patients.
- Prevented soiling in all five patients undergoing the procedure.
- Demonstrated the feasibility and efficacy of the combined technique.
Conclusions:
- The combined antegrade colonic washout and Mitrofanoff procedure offers a viable solution for intractable fecal incontinence.
- This technique provides a continent catheterisable stoma, improving patient outcomes and quality of life.