The Malone antegrade continence enema adapting a transanal irrigation system in patients with neurogenic bowel dysfunction.

ABSTRACT:

Introduction

Patients with severe neurogenic bowel dysfunction (NBD) may undergo the Malone antegrade continence enema (MACE) surgery to perform antegrade bowel irrigation (ABI). The standard approach may be prevented by a previous appendectomy or complicated by appendicular stenoses and/or stomal leakages. We present the experience by our tertiary referral center for NBD, adopting a modified surgical technique, based on a neoappendix with the terminal ileum to preserve the natural anti-reflux mechanism of the ileocecal valve and avoid stool leakage, and a largely available transanal irrigation (TAI) system to catheterize the neoappendix and perform ABI.

Case presentation

Three individuals with NBD successfully underwent our modified MACE program. Case 1 had cauda equina syn

SUBMITTER: Spinelli M 

PROVIDER: S-EPMC8065210 | biostudies-literature | 2021 Apr

REPOSITORIES: biostudies-literature