Abstract
The previously reported Malone antegrade continence enema (MACE) was used in 21 children for intractable fecal incontinence or constipation. Twelve are completely clean, and three are much improved (71% success rate). However, only four of the 21 have not had some type of complication, either minor or major. Five of the 21 now have a colostomy, and one has abandoned the procedure.
MeSH terms
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Adolescent
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Anastomosis, Surgical
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Appendix / surgery*
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Catheters, Indwelling*
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Cecum / surgery*
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Child
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Child, Preschool
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Chronic Disease
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Combined Modality Therapy
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Constipation / etiology
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Constipation / therapy*
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Enema / methods*
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Fecal Incontinence / etiology
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Fecal Incontinence / therapy*
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Female
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Humans
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Infant
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Male
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Phosphates / administration & dosage
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Postoperative Care
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Postoperative Complications / epidemiology
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Postoperative Complications / therapy
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Surgical Flaps / methods*