Endoscopically placed caecostomy buttons: a trial ACE procedure.
The use of the antegrade continence enema (ACE) is becoming more widespread. Preliminary studies have been promising, but the procedure is not universally successful. A colonoscopic insertion of a caecostomy button is a relatively minor procedure. This allows the ACE to be used for a trial period to assess whether a permanent procedure would be beneficial. If successful, enemas can be continued by the caecostomy, or a formal ACE can be performed. We report a series of five patients who underwent staged endoscopic insertion of a MIC-KEY caecostomy button, and we discuss the technical aspects of the procedure.
Biyani
D
D
Colorectal Unit, Department of Surgery, Manchester Royal Infirmary, Manchester, UK.
Barrow
E
E
Hodson
P
P
Watson
A J M
AJ
Maclennan
I
I
D000328:Adult; D003248:Constipation / Q000601:surgery*; D004733:Enema / Q000295:instrumentation*; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D011183:Postoperative Complications; D016896:Treatment Outcome