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Appendicostomy irrigation for facilitating colonic evacuation in colostomy patients

Preliminary report

  • Technical Notes
  • Published:
Diseases of the Colon & Rectum

Abstract

A method for bowel irrigation through an appendicostomy (antegrade colonic enema) for patients with a left colostomy is described. The appendicostomy is easily constructed without morbidity. Irrigation through the appendicostomy is performed with minimum equipment, uses a small volume of irrigation water, and takes a relatively short time. This may improve colonic evacuation in patients with left colostomy.

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References

  1. Terranova O, Sandei F, Rebuffat C, Maruotti R, Bortolozzi E. Irrigationvs. natural evacuation of left colostomy: a comparative study of 340 patients. Dis Colon Rectum 1979;22:31–4.

    Google Scholar 

  2. Williams NS, Johnston D. Prospective controlled trial comparing colostomy irrigation with “spontaneousaction” methods. BMJ 1980;281:107–9.

    Google Scholar 

  3. Jao SW, Beart RW Jr, Wendorf LJ, Ilstrup DM. Irrigation management of sigmoid colostomy. Arch Surg 1985;120:916–7.

    Google Scholar 

  4. Malone PS, Ramsey PG, Kiely EM. Preliminary report: the antegrade continence enema. Lancet 1990;336:1217–8.

    Google Scholar 

  5. Wheeler RA, Malone PS. The use of the appendix in reconstructive surgery: a case against incidental appendicectomy. Br J Surg 1991;78:1283–5.

    Google Scholar 

  6. Griffiths DM, Malone PS. The Malone antegrade continence enema. J Pediatr Surg 1995;30:68–71.

    Google Scholar 

  7. Hill J, Stott S, MacLennan I. Antegrade enemas for the treatment of severe idiopathic constipation. Br J Surg 1994;81:1490–1.

    Google Scholar 

  8. Dick AC, McCallion A, Brown S, Boston VE. Antegrade colonic enemas. Br J Surg 1996;83:642–3.

    Google Scholar 

  9. Kock NG, Myrvold HE, Nilsson LO, Philipson BM. Continent ileostomy: an account of 314 patients. Acta Chir Scand 1981;147:67–72.

    Google Scholar 

  10. Fazio VW, Church JM. Complications and function of continent ileostomy at the Cleveland Clinic. World J Surg 1988;12:148–54.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Akita University School of Medicine, Hondo 1-1-1, 010, Akita, Japan

    Hitoshi Kotanagi M.D., Kenji Koyama M.D., Yuko Sato R.N. & Koh Takahashi R.N.

Authors
  1. Hitoshi Kotanagi M.D.
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  2. Kenji Koyama M.D.
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  3. Yuko Sato R.N.
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  4. Koh Takahashi R.N.
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Cite this article

Kotanagi, H., Koyama, K., Sato, Y. et al. Appendicostomy irrigation for facilitating colonic evacuation in colostomy patients. Dis Colon Rectum 41, 1050–1052 (1998). https://doi.org/10.1007/BF02237398

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  • DOI: https://doi.org/10.1007/BF02237398

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