title: [Treatment of severe chronic constipation through the antegrade continent enema procedure].
abstract: The antegrade continent enema procedure was first described in 1990 by Malone for the treatment of severe fecal neurogenic incontinence in children. Since then, this technique has been successfully carried out in adults, as well as in patients with refractory constipation. The procedure provides a continent and catheterizable channel, generally an appendicostomy, through which antegrade washouts are given to produce colonic emptying. We describe the case of a 23-year-old man with severe constipation and overflow fecal incontinence who underwent an appendicostomy. There were no immediate postoperative complications and saline washouts were started on the fourth day. Since then, the patient has had a bowel movement between 1 and 3 hours after each washout, has recovered continence, and no longer wears an absorbent pad.
authors.affiliation: Unidad de Cirugía Colorrectal. Servicio de Cirugía General. Hospital del Mar. Barcelona. España. mpera@imas.imim.es
authors.forename: Miguel
authors.initials: M
authors.lastname: Pera
authors.forename: David
authors.initials: D
authors.lastname: Parés
authors.forename: Marta
authors.initials: M
authors.lastname: Pascual
authors.forename: Marta
authors.initials: M
authors.lastname: Pérez
authors.forename: Nuria
authors.initials: N
authors.lastname: Cañete
authors.forename: M Isabel
authors.initials: MI
authors.lastname: Sánchez de la Blanca
authors.forename: Montserrat
authors.initials: M
authors.lastname: Andréu
authors.forename: Luis
authors.initials: L
authors.lastname: Grande
mesh_terms: D000328:Adult; D001065:Appendix / Q000601:surgery*; D002404:Catheterization; D002431:Cecostomy; D002908:Chronic Disease; D003248:Constipation / Q000628:therapy*; D004733:Enema / Q000379:methods*; D005242:Fecal Incontinence / Q000628:therapy; D006801:Humans; D008297:Male; D013997:Time Factors; D016896:Treatment Outcome