title: Malone antegrade colonic irrigation: ileal neoappendicostomy is the preferred procedure in adults.
abstract: BACKGROUND
  Antegrade colonic enema, via a caecal access [Malone antegrade continence enema (MACE)], is proposed to selected patients suffering from incontinence and/or constipation when other therapeutic modalities have failed.
  
  
  METHODS
  We compared complication rates after three MACE techniques: appendicostomy, caecal neoappendicostomy, and ileal neoappendicostomy in 28 adult patients having 31 MACE operations.
  
  
  RESULTS
  Stenoses and leakages occurred more frequently after appendicostomy and caecal flap than after ileal neoappendicostomy. This latter technique appears to reduce morbidity for adult patients.
authors.affiliation: Service de Chirurgie Digestive, CHU Purpan, Place du Dr. Baylac, 31059, Toulouse Cedex, France. portier.g@chu-toulouse.fr
authors.forename: Guillaume
authors.initials: G
authors.lastname: Portier
authors.forename: Laurent
authors.initials: L
authors.lastname: Ghouti
authors.forename: Sylvain
authors.initials: S
authors.lastname: Kirzin
authors.forename: Monique
authors.initials: M
authors.lastname: Chauffour
authors.forename: Frank
authors.initials: F
authors.lastname: Lazorthes
mesh_terms: D000328:Adult; D001065:Appendix / Q000601:surgery*; D003248:Constipation / Q000601:surgery; D004733:Enema; D005242:Fecal Incontinence / Q000601:surgery; D006801:Humans; D007082:Ileum / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies