Abstract
Retrograde rectal irrigation through various enema techniques is a well-accepted practice to empty the lower bowel and to relieve constipation and fecal soiling in patients with functional bowel disorders [1]. However, retrograde enemas can be technically challenging for elderly and disabled patients and may require caregiver assistance. For the patient with severe bowel dysfunction who is contemplating a permanent colostomy, the antegrade colonic enema (ACE) procedure may be a viable option.
Keywords
- Fecal Incontinence
- Intermittent Catheterization
- Permanent Colostomy
- Functional Bowel Disorder
- Stoma Creation
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Briel JW, Schouten WR, Vlot EA, Smits S, van Kessel I. Clinical value of colonic irrigation in patients with continence disturbances. Dis Colon Rectum. 1997;40(7):802–5.
Malone PS, Ransey PG, Kiely EM. Preliminary report: the antegrade continence mechanism. Lancet. 1990;336:1217–8.
Monti PR, Lara RC, Dutra MA, De Carvallo JR. New techniques for construction of efferent conduits based on the Mitranoff principle. Urology. 1997;49:112–5.
Willams NS, Hughes SF, Stuchfield B. Continent colonic conduit for rectal evacuation in severe constipation. Lancet. 1994;343(8909):1321–4.
Kiely EM, Ade-Ajayi N, Wheeler RA. Caecal flap conduit for antegrade continence enemas. Br J Surg. 1994;81(8):1215.
Mitrofanoff P. Cystostomie continenente trans-appendiculare dans le traitment des vessies neurologiques. Chir Pediatr. 1980;21:297–305.
Sinha CK, Grewal A, Ward HC. Antegrade continence mechanism (ACE): current practice. Pediatr Surg Int. 2008;24(6):658–8.
Worsoe J, Christensen P, Krogh K, Buntzen S, Laurberg S. Long-term results of antegrade colonic enema in adult patients: assessment of functional results. Dis Colon Rectum. 2008;51(10):1523–8.
Poirier M, Abcarian H, Nelson R. Malone antegrade continent enema: an alternative to resection in severe defecation disorders. Dis Colon Rectum. 2007;50(1):22–8.
Dick AC, McCallion WA, Brown S, Boston VE. Antegrade colonic enemas. Br J Surg. 1996;83:642–4.
Gerharz EW, Vik W, Webb G, Leaver R, Shah PJ, Woodhouse CR. The value of the MACE procedure in adult patients. JAM Coll Surg. 1997;185:544–7.
Teichman JM, Harris JM, Currie DM, Barber DB. Malone antegrade continence mechanism for adults with neurogenic bowel disease. J Urol. 1998;160:1278–81.
Hirst GR, Arumugam PJ, Watkins AJ, Mackey P, Morgan AR, Carr ND, et al. Antegrade continence enema in the treatment in the treatment of obstructed defecation with or without fecal incontinence. Tech Coloproctol. 2005;9:217–21.
Lees NP, Hodson P, Hill J, Pearson RC, MacLennan I. Long term results of the antergrade continent enema procedure for adults with constipation. Colorectal Dis. 2004;6(5):362–8.
Rongen MJ, van der Hoop Gerritsen, Baeten CG. Cecal access for antegrade colon enemas in medically refractory slow transit constipation. Dis Colon Rectum. 2001;44:1644–9.
Nanigian DK, Kurzrock EA. Intermediate – Term outcome of the simplified laparoscopic antegrade continence enema procedure: less is better. J Urol. 2008;179:299–303.
Webb HW, Barraza MA, Crump JM. Laparoscopic appendicostomy for management of fecal incontinence. J Pediatr Surg. 1997;32:457–8.
Sinha CK, Butler C, Haddad M. Left Antegrade Colonic Enema (LACE): review of the literature. Eur J Pediatr Surg. 2008;18(4):215–8.
Uno Y. Introducer method of percutaneous endoscopic cecostomy and antegrade continence enema by use of the Chait Trapdoor cecostomy catheter in patients with adult neurogenic bowel. Gastrointest Endosc. 2006;63:666–73.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2012 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Gurland, B., Floruta, C.V., Lavery, I.C. (2012). Antegrade Colonic Enema (ACE). In: Fazio, V., Church, J., Wu, J. (eds) Atlas of Intestinal Stomas. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-78851-7_17
Download citation
DOI: https://doi.org/10.1007/978-0-387-78851-7_17
Published:
Publisher Name: Springer, Boston, MA
Print ISBN: 978-0-387-78850-0
Online ISBN: 978-0-387-78851-7
eBook Packages: MedicineMedicine (R0)