Background   Some controversy exists about the role of cecostomy in the management of fecal disorders. The present meta-analysis aims provide a comprehensive evaluation on the role of cecostomy on management of fecal incontinence and constipation in children.   Materials and Methods   An extensive search was performed on the Medline, Embase, Scopus, and Web of Science until July 2017. Two ind...

Abstract Background Refractory constipation and faecal incontinence among adults is a common presentation to surgical clinics. ACE stoma has been tried proven as successful treatment modality in children. Although it an acceptable adults, there little prospective evidence available regarding its use hence not yet come vogue. Methods A literature review was carried out using PubMed, Cochrane Lib...

OBJECTIVE To describe the clinical features of children with severe constipation and their outcome after restorative proctocolectomy. DESIGN Observational study and health status questionnaire using gastrointestinal quality of life score (GIQL). SETTING English regional paediatric surgery service. PATIENTS Five children were identified, with severe constipation, whose symptoms had not imp...

Background and Purpose: Chronic constipation and encoporesis present many psychosocial problems for patients and their families. Therapy with the antegrade continence enema was initially described by Malone in 1990. We present a series of patients in which a Malone antegrade continence enema was created laparoscopically. Patients and methods: Eight patients between 2 and 15 years of age present...

PURPOSE Many articles describe the antegrade continence enemas (ACEs), but few refer to a bowel management program. A successful ACE may not help a patient without such management. Valuable lessons were learned by implementation of bowel management in 495 fecally incontinent patients. METHODS We previously reported 201 patients. Thereafter, another 294 patients participated in our program. On...

The barium enema is a safe and accurate diagnostic study of the colon but, in rare cases, causes complications, such as colonic perforation. A colon weakened by iatrogenic trauma due to the enema tip and/or retention balloon, or by disease is more likely to perforate during an enema than is a normal healthy bowel. Rarely the colon may burst due to excessive transmural pressure alone. We report ...

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...

BACKGROUND The short chain fatty acid (SCFA) butyrate provides energy for colonocytes, stimulates colonic fluid and electrolyte absorption and is recognised as an effective treatment for multiple types of colitis. AIM To examine the impact of butyrate enema therapy on the clinical course, severity of inflammation, and SCFA stimulated Na+ absorption in a chronic experimental colitis. METHODS...

Rectal bleeding often heralds serious colonic disease. The literature suggests that colonoscopy is superior to barium enema plus sigmoidoscopy, although no good comparative studies exist. Seventy one patients with overt rectal bleeding had prospectively flexible sigmoidoscopy, double contrast barium enema and colonoscopy completed independently. Against the gold standard, the sensitivity and sp...