The malone (antegrade colonic enema) procedure: Early experience☆
References (9)
- et al.
The enema continence catheter in spina bifida: Successful bowel management
J Pediatr Surg
(1987) - et al.
Preliminary report: The antegrade continence enema
Lancet
(1990) - et al.
The clinical application of the Malone antegrade colonic enema
J Pediatr Surg
(1993) - et al.
The Malone antegrade colonic enema enhances the quality of life in children undergoing urological incontinence procedures
J Urol
(1996)
Cited by (48)
Tube cecostomy versus appendicostomy for antegrade enemas in the management of fecal incontinence in children: A systematic review
2020, Journal of Pediatric SurgeryCitation Excerpt :After review of all abstracts, 144 papers were retrieved for detailed evaluation of inclusion and exclusion criteria.104 papers were excluded after title and abstract screening, leaving 40 studies included in the final analysis (Fig. 1). Studies included 31 case reviews on patients undergoing appendicostomy procedures [6–36], 5 case reviews on patients undergoing cecostomy [37–41] [38–42], and 4 studies which included both approaches and provided demographics and outcomes clearly distinguishable between these two cohorts [42–45].[3–6]. No randomized controlled trials were identified.
Multicentric evaluation of the adherence to Peristeen® transanal irrigation system in children
2020, Annals of Physical and Rehabilitation MedicineCitation Excerpt :Depending on the motivation and the reasons for stopping the procedure, different solutions can be proposed, for example, constipation treatments, a new TAI learning or a Malone surgical procedure. The Malone procedure, first described in 1990 [15], provides antegrade catheter access to the right colon and allows for administration of enemas through a stoma. One of the limitations of this study is the use of non-validated questionnaires because of the lack of validated questionnaires specific to bowel dysfunction for use in children.
Triamcinolone injection for treatment of Mitrofanoff stomal stenosis: Optimizing results and reducing cost of care
2017, Journal of Pediatric UrologyThe Malone antegrade continence enema procedure: The Amsterdam experience
2011, Journal of Pediatric SurgeryCitation Excerpt :Lynch et al [15] reviewed the results of laparoscopic and open antegrade continence enema procedures. Improvement of fecal incontinence was achieved in 90% of patients treated by the laparoscopic variant of MACE compared with 61% to 78% in patients who underwent an open procedure [12]. The incidence of stomal leakage was 6.7% in the laparascopic group and between 5.6 and 15% in the open appendicostomy group.
Botulinum toxin, a new treatment modality for chronic idiopathic constipation in children: long-term follow-up of a double-blind randomized trial
2007, Journal of Pediatric SurgeryCitation Excerpt :In children, surgery is only indicated in the most severe cases of chronic constipation and overflow fecal incontinence for which there has been no response to conventional treatments. The surgical options include disimpaction of hard stool from the rectum under general anesthesia, anal dilatation, IAS myectomy, formation of an antegrade continent enema stoma, excision of the colon and megarectum, and formation of a stoma [4-7,20,36,38-48]. To our knowledge, the series reported in this article is the first double-blind, randomized, and controlled trial comparing the new treatment of intrasphincteric injection of botulinum toxin with myectomy of the IAS in the treatment of chronic idiopathic constipation and fecal incontinence in children.
- ☆
Presented at the 28th Annual Meeting of The American Pediatric Surgical Association, Naples, Florida, May 18–21, 1997.