Clinical outcome and efficacy of antegrade colonic enemas administered via an indwelling cecostomy catheter in adults with defecatory disorders

Diseases of the Colon and Rectum
Vicki Patton, David Z Lubowski

Abstract

Antegrade colonic enemas are used in selected adult patients with defecatory disorders. Conduit stenosis requiring revisional surgery is common. The aim of the study was to determine whether stenosis could be avoided by using an indwelling antegrade continence enema catheter in an appendiceal or cecal conduit, and to describe medium-term clinical outcomes. This study was a retrospective case series. The study was conducted at a tertiary referral hospital in Sydney, Australia. Adults administering antegrade colonic enemas to manage defecatory disorders were selected for the study. Patients with an indwelling antegrade continence enema catheter completed a face-to-face survey when they attended the clinic for catheter change. A postal survey was sent to nonattenders, and, if it was not returned, the patient was contacted, and the survey was completed by telephone. The survey asked about irrigation techniques, satisfaction, confidence to manage, and continence, using quantitative scores. Fifty-four patients (45 female; mean age, 49 years) had constipation (n = 31), incontinence (n = 6), both incontinence and constipation (n = 2) or obstructed defecation due to gracilis neosphincter (n = 5), congenital anomalies (n = 8), or spinal ...Continue Reading

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Citations

Jul 26, 2015·Journal of Vascular and Interventional Radiology : JVIR·David R MarkerSally Mitchell
Jan 18, 2017·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Shifra KoyfmanKyle Staller
Nov 7, 2015·Diseases of the Colon and Rectum·Vicki Patton, David Z Lubowski
Feb 11, 2019·International Journal of Colorectal Disease·Roberto PeltriniLuigi Bucci

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