Abstract
Purpose: As problems have developed with the right colonic antegrade continence enema procedure (Malone's procedure/Monti's retubularized ileocolostomy), left colonic antegrade continence enema (LACE) procedure, in which retubularized ileum or sigmoid colon is anastomosed into the sigmoid colon, has gained popularity. The aim of the study was to describe our experience with the LACE procedure. Methods: We retrospectively reviewed 19 LACE procedures that were performed at the Yonsei University College of Medicine Hospital (Seoul, Korea) from March 2001 to March 2005. Results: Male-to-female ratio was 11:8, with median age of 10 years (range, 3-34 years). Most common diagnosis was meningomyelocele (78.9%, 15/19). The median total follow-up period was 23 months (range, 3-37 months); median antegrade continence enema volume used was 600 mL (range, 250-1500 mL); and median transit time was 30 minutes (range, 15-60 minutes). Patients performed antegrade continence enema with an average of once every 2 days (range, 0.3-3 days). Social continence was achieved in 14 patients (73.7%). Regurgitation of fecal material through stoma was not reported at all in 17 patients (89.5%). Conclusions: We recommend LACE as the procedure of choice for children with congenital malformations or any other condition predisposing to fecal incontinence or constipation intractable to conventional treatment.
| Original language | English |
|---|---|
| Pages (from-to) | 1750-1754 |
| Number of pages | 5 |
| Journal | Journal of Pediatric Surgery |
| Volume | 41 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - 2006 Oct 1 |
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All Science Journal Classification (ASJC) codes
- Surgery
- Pediatrics, Perinatology, and Child Health
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Left colonic antegrade continence enema : experience gained from 19 cases. / Kim, Seong Min; Han, Sang Won; Choi, Seung Hoon.
In: Journal of Pediatric Surgery, Vol. 41, No. 10, 01.10.2006, p. 1750-1754.Research output: Contribution to journal › Article
TY - JOUR
T1 - Left colonic antegrade continence enema
T2 - experience gained from 19 cases
AU - Kim, Seong Min
AU - Han, Sang Won
AU - Choi, Seung Hoon
PY - 2006/10/1
Y1 - 2006/10/1
N2 - Purpose: As problems have developed with the right colonic antegrade continence enema procedure (Malone's procedure/Monti's retubularized ileocolostomy), left colonic antegrade continence enema (LACE) procedure, in which retubularized ileum or sigmoid colon is anastomosed into the sigmoid colon, has gained popularity. The aim of the study was to describe our experience with the LACE procedure. Methods: We retrospectively reviewed 19 LACE procedures that were performed at the Yonsei University College of Medicine Hospital (Seoul, Korea) from March 2001 to March 2005. Results: Male-to-female ratio was 11:8, with median age of 10 years (range, 3-34 years). Most common diagnosis was meningomyelocele (78.9%, 15/19). The median total follow-up period was 23 months (range, 3-37 months); median antegrade continence enema volume used was 600 mL (range, 250-1500 mL); and median transit time was 30 minutes (range, 15-60 minutes). Patients performed antegrade continence enema with an average of once every 2 days (range, 0.3-3 days). Social continence was achieved in 14 patients (73.7%). Regurgitation of fecal material through stoma was not reported at all in 17 patients (89.5%). Conclusions: We recommend LACE as the procedure of choice for children with congenital malformations or any other condition predisposing to fecal incontinence or constipation intractable to conventional treatment.
AB - Purpose: As problems have developed with the right colonic antegrade continence enema procedure (Malone's procedure/Monti's retubularized ileocolostomy), left colonic antegrade continence enema (LACE) procedure, in which retubularized ileum or sigmoid colon is anastomosed into the sigmoid colon, has gained popularity. The aim of the study was to describe our experience with the LACE procedure. Methods: We retrospectively reviewed 19 LACE procedures that were performed at the Yonsei University College of Medicine Hospital (Seoul, Korea) from March 2001 to March 2005. Results: Male-to-female ratio was 11:8, with median age of 10 years (range, 3-34 years). Most common diagnosis was meningomyelocele (78.9%, 15/19). The median total follow-up period was 23 months (range, 3-37 months); median antegrade continence enema volume used was 600 mL (range, 250-1500 mL); and median transit time was 30 minutes (range, 15-60 minutes). Patients performed antegrade continence enema with an average of once every 2 days (range, 0.3-3 days). Social continence was achieved in 14 patients (73.7%). Regurgitation of fecal material through stoma was not reported at all in 17 patients (89.5%). Conclusions: We recommend LACE as the procedure of choice for children with congenital malformations or any other condition predisposing to fecal incontinence or constipation intractable to conventional treatment.
UR - http://www.scopus.com/inward/record.url?scp=33748972107&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33748972107&partnerID=8YFLogxK
U2 - 10.1016/j.jpedsurg.2006.05.048
DO - 10.1016/j.jpedsurg.2006.05.048
M3 - Article
C2 - 17011282
AN - SCOPUS:33748972107
VL - 41
SP - 1750
EP - 1754
JO - Journal of Pediatric Surgery
JF - Journal of Pediatric Surgery
SN - 0022-3468
IS - 10
ER -