Koyle M A, Kaji D M, Duque M, Wild J, Galansky S H
Section of Pediatric Urology, Children's Hospital, University of Colorado School of Medicine, Denver, USA.
J Urol. 1995 Aug;154(2 Pt 2):759-61. doi: 10.1097/00005392-199508000-00114.
Problems of fecal elimination are commonly encountered by the pediatric urologist and surgeon. The Malone antegrade continence enema has been described as a means to administer a large volume enema via a continent catheterizable appendicocecostomy, resulting in reliable fecal elimination. Of 22 patients undergoing this procedure 16 reported total continence 4 months or longer after surgery. Complications are relatively minor and tap water appears to be a safe solution for the antegrade continence enema. A nonrefluxing, imbricated appendicocecostomy is preferable to prevent cutaneous fecal or gas leaks.
