Malone antegrade continence enemas for autonomic dysreflexia secondary to neurogenic bowel

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

Research output: Contribution to journalArticlepeer-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 languageEnglish (US)
Pages (from-to)245-247
Number of pages3
JournalJournal of Spinal Cord Medicine
Volume21
Issue number3
DOIs
StatePublished - Jul 1998

Keywords

  • Antegrade continence enema
  • Autonomic dysreflexia
  • Spinal cord injury

ASJC Scopus subject areas

  • Clinical Neurology

Fingerprint

Dive into the research topics of 'Malone antegrade continence enemas for autonomic dysreflexia secondary to neurogenic bowel'. Together they form a unique fingerprint.

Cite this