PDF herunterladen
Eur J Pediatr Surg 1998; 8: 37-38
DOI: 10.1055/s-2008-1071251
Original article

© Georg Thieme Verlag KG Stuttgart · New York

Bowel Dysfunction in Spina Bifida - An American Experience with the ACE Procedure

H.  Warner Webb1 , M. A. Barraza2 , P. S. Stevens2 , J. M. Crump3 , M.  Erhard2
  • 1Department of Surgery, Nemours Children's Clinic, 807 Nira Street, Jacksonville, Florida 32207, USA
  • 2Division of Urology, Nemours Children's Clinic, 807 Nira Street, Jacksonville, Florida 32207, USA
  • 3Jacksonville, FL
Weitere Informationen

Publikationsverlauf

Publikationsdatum:
20. Mai 2008 (online)

  als PDF herunterladen  Lizenzen und Reprints

Abstract

Fecal incontinence remains a detriment to improved quality of life in many patients with spina bifida. Previous methods of conservative management frequently prove to be inadequate, causing many patients to withdraw from the social mainstream. Recent descriptions of procedures to provide access to the proximal colon for antegrade colonic enemas (ACE procedure) have provided a new approach to managing fecal incontinence. We report here our experience with these procedures in 43 patients with spina bifida. The background, techniques and outcomes of these procedures are discussed and a plea is made to consider this approach in all patients who are hampered in their social or vocational progress because of neurogenic anorectal dysfunction.

Key words

Spina bifida - Fecal incontinence - Appendicostomy - Antegrade colonic enema (ACE)

      >