Ain-Shams experience in the management of end stage fecal incontinence using antegrade continence enema

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Meta-analysis of antegrade continence enema in adults with faecal incontinence and constipation.

BACKGROUND Faecal incontinence and constipation affects up to 20 per cent of the general population, and can be a significant source of distress. The antegrade continence enema (ACE) procedure has been shown to be an effective alternative treatment option for children, but its use in adults requires clarification. A systematic review and meta-analysis was performed to determine outcomes of the ...

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The antegrade continence enema procedure and total anorectal reconstruction

Patients may present with anal incontinence (AI) following repair of a congenital anorectal anomaly years previously, or require total anorectal reconstruction (TAR) following radical rectal extirpation, most commonly for rectal cancer. Others may require removal of their colostomy following sphincter excision for Fournier's gangrene, or in cases of severe perineal trauma. Most of the data pert...

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After the honeymoon--medium-term outcome of antegrade continence enema procedure.

PURPOSE The aim of this study was to determine medium-term outcomes of the antegrade continence enema (ACE) procedure. METHODS A retrospective casenote review plus telephone questionnaire was conducted. The study was performed at a regional paediatric surgical centre. The subjects were consecutive children undergoing the ACE procedure over a 5 year period. Main outcome measures were use of th...

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Success of Malone's antegrade continence enema (MACE) from the patients' perspective.

PURPOSE Fecal incontinence (FI) is a devastating problem for children. The failure of optimal medical treatment may require further interventions such as appendicocutaneostomy. We report on a patients' perspective of the success of a Malone procedure for FI. PATIENTS AND METHODS The records of 32 patients who had undergone ACE procedure in the past 9 years were reviewed. Patients and families...

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Long-term outcome of left- vs right-sided antegrade continence enema.

BACKGROUND/PURPOSE This study compared long-term outcomes of left- vs right-sided antegrade continence enema (ACE) procedures. METHODS We retrospectively analyzed medical records and performed a follow-up telephone survey of patients who underwent the ACE procedure at Severance Children's Hospital between 1999 and 2011. RESULTS A total of 49 patients underwent 51 ACE procedures. The procedu...

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ژورنال

عنوان ژورنال: Ain Shams Journal of Surgery

سال: 2008

ISSN: 2090-7249

DOI: 10.21608/asjs.2008.177020