Document Detail

Role of the antegrade continence enema in the management of the most debilitating childhood recto-urogenital anomalies.
MedLine Citation:
PMID:  9258194     Owner:  NLM     Status:  MEDLINE    
PURPOSE: We evaluated the antegrade continence enema for managing the most severely compromised fecal continence mechanisms and the efficacy of nonappendiceal conduits in children when appendix is unavailable. MATERIALS AND METHODS: Ten patients 3 to 25 years old underwent continent cecostomy for the purpose of the antegrade continence enema. Diagnoses included the VATER association in 4 cases, myelomeningocele in 3, cloacal anomaly in 2 and isolated imperforate anus in 1. Eight patients received a tubularized ileal conduit, 2 received an appendiceal conduit and 2 underwent concomitant fecal undiversion. RESULTS: Followup ranged from 4 to 28 months (mean 17.6). All patients have achieved excellent fecal continence and no significant stomal soilage or difficulty with catheterization has been noted. Patients reported a high degree of satisfaction. CONCLUSIONS: Continent cecostomy for the antegrade continence enema is highly effective even in the presence of severe structural anorectal disease. The tapered ileal conduit is an excellent alternative to the appendiceal conduit.
C A Sheldon; E Minevich; J Wacksman; A G Lewis
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of urology     Volume:  158     ISSN:  0022-5347     ISO Abbreviation:  J. Urol.     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-09-24     Completed Date:  1997-09-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376374     Medline TA:  J Urol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1277-9; discussion 1279-80     Citation Subset:  AIM; IM    
Division of Pediatric Urology, Children's Hospital Medical Center, Cincinnati, Ohio, USA.
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MeSH Terms
Abnormalities, Multiple*
Appendix / surgery
Child, Preschool
Fecal Incontinence / etiology,  therapy*
Follow-Up Studies
Rectum / abnormalities*
Urogenital Abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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