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Appendiceal cecoplication: a modification of the Malone antegrade colonic enema procedure
1Department of Surgery, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, USA.
Abstract:
Bowel dysfunction is common in patients with neurogenic bladder dysfunction. In 1990 Malone combined the principles of antegrade colonic washout and the Mitrofanoff nonrefluxing catheterizable channel to produce a continent colonic stoma, the antegrade colonic enema (ACE) procedure. This procedure provides a catheterizable channel through which antegrade washouts are given to provide efficient colonic emptying. We present our modification of the ACE procedure, the appendiceal cecoplication.
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