Malone antegrade continence enemas for autonomic dysreflexia secondary to neurogenic bowel

Joel M.H. Teichman; Douglas B. Barber; Vince J. Rogenes; J. Mansel Harris

doi:10.1080/10790268.1998.11719535

Malone antegrade continence enemas for autonomic dysreflexia secondary to neurogenic bowel

Joel M.H. Teichman, Douglas B. Barber, Vince J. Rogenes, J. Mansel Harris

Rehabilitation Medicine

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

A 42-year-old man with T-4 ASIA B thoracic paraplegia presented with chronic constipation, fecal incontinence, and bowel-related autonomic dysreflexia (AD) refractory to conservative bowel program. His usual toileting time lasted one to five hours. Antegrade continence enemas (ACE) were performed. The ACE technique, which requires creating a continent catheterizable appendicocecostomy, is described. Postoperatively, a daily enema was given through the stoma. The patient's toileting time was reduced to 20 minutes and his AD resolved. The role of the ACE is discussed in adult spinal cord injury (SCI).

Original language	English (US)
Pages (from-to)	245-247
Number of pages	3
Journal	Journal of Spinal Cord Medicine
Volume	21
Issue number	3
DOIs	https://doi.org/10.1080/10790268.1998.11719535
State	Published - Jul 1998

Keywords

Antegrade continence enema
Autonomic dysreflexia
Spinal cord injury

ASJC Scopus subject areas

Clinical Neurology

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10.1080/10790268.1998.11719535

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title = "Malone antegrade continence enemas for autonomic dysreflexia secondary to neurogenic bowel",

abstract = "A 42-year-old man with T-4 ASIA B thoracic paraplegia presented with chronic constipation, fecal incontinence, and bowel-related autonomic dysreflexia (AD) refractory to conservative bowel program. His usual toileting time lasted one to five hours. Antegrade continence enemas (ACE) were performed. The ACE technique, which requires creating a continent catheterizable appendicocecostomy, is described. Postoperatively, a daily enema was given through the stoma. The patient's toileting time was reduced to 20 minutes and his AD resolved. The role of the ACE is discussed in adult spinal cord injury (SCI).",

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AU - Barber, Douglas B.

AU - Rogenes, Vince J.

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