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) |
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Pages (from-to) | 245-247 |
Number of pages | 3 |
Journal | Journal of Spinal Cord Medicine |
Volume | 21 |
Issue number | 3 |
DOIs | |
State | Published - Jul 1998 |
Keywords
- Antegrade continence enema
- Autonomic dysreflexia
- Spinal cord injury
ASJC Scopus subject areas
- Clinical Neurology