title: Antegrade continence enema for the treatment of neurogenic constipation and fecal incontinence after spinal cord injury.
abstract: OBJECTIVE
  To describe the effects of an antegrade continence enema stoma formed in a paraplegic man with intractable constipation and fecal incontinence.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Spinal cord injury unit, Veterans Affairs hospital.
  
  
  METHODS
  Spinal cord injury (SCI) patient with T12 paraplegia.
  
  
  METHODS
  Surgical formation of antegrade continence enema stoma.
  
  
  METHODS
  Time of bowel program care, ease of fecal elimination, safety of procedure.
  
  
  RESULTS
  Bowel care time was decreased from 2 hours to 50 minutes daily; 6 bowel medications were discontinued; fecal incontinence was eliminated; and no surgical or medical side effects noted after the procedure.
  
  
  CONCLUSIONS
  The antegrade continence enema procedure is a safe and effective means of treating intractable constipation and fecal incontinence in the adult SCI patient. This option should be considered for those persons in whom medical management of bowel care has been unsuccessful.
authors.affiliation: Spinal Cord Injury Unit, VA Puget Sound Health Care System, Seattle Division and the Department of Urology, University of Washington, 98108 USA.
authors.forename: C C
authors.initials: CC
authors.lastname: Yang
authors.forename: S A
authors.initials: SA
authors.lastname: Stiens
mesh_terms: D002431:Cecostomy / Q000534:rehabilitation*; D003248:Constipation / Q000209:etiology / Q000534:rehabilitation*; D004733:Enema; D005242:Fecal Incontinence / Q000209:etiology / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010264:Paraplegia / Q000534:rehabilitation*; D013119:Spinal Cord Injuries / Q000534:rehabilitation*