Surgical treatment of fecal incontinence
DOI:
https://doi.org/10.51481/amc.v55i3.798Keywords:
Malone, Neo-malone, Chait's Button, fecal incontinenceAbstract
Background: Patients with fecal incontinence suffer from serious social and psychological problems. Therefore, the objective was to analyze the evolution of 27 patients who underwent surgery using the Malone, Neo-Malone or Chait's Button procedures in order to administer an antegrade enema. Also, the study aimed at assessing the effect of performing the procedure on their quality of life.
Methods: Research is descriptive and retrospective. Data was obtained from medical records from the period 2000-2010. In order to define a case, patients must have suffered from fecal incontinence and under gone surgery using the Malone, Neo-Malone (flap from de colon) and Chait's button procedures during such period.
Results: Out of the 27 patients analysed, an anorectal deformity was the cause of incontinence in 21, mielomeningocelein 3, Hirschsprung disease in 1, rabdomiosarcoma in 1 and constipation in 1 The Malone procedure was used in 17 of these patients, the Neo-Malone in 6 and the Chait's Button in 4. The complications observed were: leakage from the neo-appendix with peritonitis and reoperation in 1 case, stenosis of the stoma in 9 cases, granulomas in 4 cases and prolapse in 1 case. In 24 cases, patients keep clean from feces and both, patients and parents are satisfied. In 10 cases, patients are independent and administer their own enemas.
Conclusions: The results allow us to consider that surgery to administer an antegrade enema is a good alternative to improve the patient´s quality of life.
Downloads
References
Peña A, Hong A. Advances in the Management of Anorectal Malformations. Am J Surg 2000; 180:370-376.
Peña M, Parés D, Pascual M, Pérez M, Cañete N, Sánchez M, Andréub M, Grande L. Tratamiento del estreñimiento crónico grave mediante la técnica del enema anterógrado continenete. Cir Esp 2008; 80: 403-405.
Peña A, Guardino K, Tovilla J, Levitt M, Rodríguez G, Torres R. Bowel Management for Fecal Incontinence in Patients with Anorectal Malformations. J Pediatr Surg 1998; 33:133-137.
Levitt A, Soffer S, Peña A. Continent appendicostomy in the bowel management of fecally incontinent children. J Pediatr Surg 1997; 32:1630-1633.
Weiser A, Stock J, Hanna M. Modified cecal flap noeappendix for Malone antegrade continence enema procedure: a novel technique. J Pediatr Urol 2003; 169: 2321-2324.
Meurette G, Lehur P, Coron E, Regenet N. Long-term results of malone´s procedure with antegrade irrigaton for severe choronic constipation. Gastroenterol Clin Biol 2010; 34:209-212.
Bau MO, Younes S, Aupy A, Bernuy M, Rouffet MJ, Yepremian D, Lottman HB. The Malone antegrade colonic enema isolated or associated with urological inconticence procedueres: evaluation from patient point of view. J Pediatr Urol 2001; 165: 2399-2403.
Becmeur F, Demarche M, Lacreuse I, Molinaro F, Kauffmann I, Moog R, et al. Cecostomy button for antegrade enemas: survey of 29 patients. J Pediatr Surg 2008; 43: 1853-1857.
Shaul DB, Harrison EA, Muenchow SK Avoidance of leakage and strictures when creatinag an invisible conduit for anterograde colinic enemas. J Pediatr Surg 2002; 37: 12, 1768-1771.
Downloads
Published
Versions
- 2013-07-26 (2)
- 2013-07-26 (1)
Issue
Section
License
Copyright (c) 2013 Acta Médica Costarricense
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Los autores que publican en la revista Acta Médica Costarricense pueden distribuir, copiar, remezclar, retocar, leer, descargar, imprimir, buscar y crear a partir de su obra de modo no comercial, indicando los créditos a la revista y sus autores y compartir su obra en las mismas condiciones. Para ello se aplica la licencia Creative Commons Reconocimiento-NoComercial-CompartirIgual 4.0 Internacional(CC BY-NC-SA 4.0)
