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The antegrade continence enema procedure why, when and how?
P S Malone1, J I Curry, A Osborne
1Department of Paediatric Nephrourology, Southampton General Hospital, UK.
World Journal of Urology
|October 17, 1998
Summary
The antegrade continence enema (ACE) is a successful treatment for faecal incontinence. This paper reviews its evolution, patient selection, surgical techniques, and enema regimens.
Area of Science:
- Gastroenterology and Surgical Innovation
Background:
- The antegrade continence enema (ACE) procedure has gained widespread acceptance over the past seven years.
- It is recognized as a highly successful treatment for severe faecal incontinence.
Purpose of the Study:
- To trace the historical development and evolution of the ACE procedure.
- To outline current best practices for patient selection, surgical techniques, and enema administration.
Main Methods:
- Review of the literature and clinical experience regarding the antegrade continence enema.
- Description of modifications in operative techniques and enema regimens.
- Identification of criteria for optimal patient selection.
Main Results:
- The fundamental principles of the ACE procedure have remained consistent despite modifications.
- Detailed criteria for patient selection, operative technique, and enema regimens are presented.
Conclusions:
- The antegrade continence enema (ACE) represents a significant advancement in managing intractable faecal incontinence.
- This paper provides a comprehensive guide to the ACE procedure, aiding clinicians in its application and refinement.