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Related Experiment Videos

The Malone antegrade continence enema

D M Griffiths1, P S Malone

  • 1Wessex Regional Centre for Paediatric Surgery, Southampton General Hospital, England.

Journal of Pediatric Surgery
|January 1, 1995
PubMed
Summary

The Malone antegrade continence enema (MACE) procedure shows a 71% success rate for treating fecal incontinence and constipation in children. However, complications are frequent, with most patients experiencing issues or requiring further surgical intervention.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Urology

Background:

  • Intractable fecal incontinence and constipation pose significant challenges in pediatric care.
  • The Malone antegrade continence enema (MACE) is a surgical option for managing these conditions.

Purpose of the Study:

  • To evaluate the efficacy and complication rates of the MACE procedure in a pediatric cohort.
  • To assess the long-term outcomes for children undergoing MACE for fecal management.

Main Methods:

  • Retrospective review of 21 pediatric patients who underwent the MACE procedure.
  • Analysis of continence outcomes, complication types and severity, and need for further interventions.

Main Results:

  • A 71% success rate was observed, with 12 patients achieving complete continence and 3 showing significant improvement.
  • Complications were frequent, with only 4 out of 21 patients remaining complication-free.
  • Five patients required a colostomy, and one patient abandoned the MACE procedure due to complications.

Conclusions:

  • The MACE procedure offers a viable solution for fecal incontinence and constipation in children, achieving a high success rate.
  • The high incidence of complications necessitates careful patient selection and management, with potential need for secondary procedures.

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