title: Laparoscopically inserted button colostomy as a venting stoma and access port for the administration of antegrade enemas in African degenerative leiomyopathy.
abstract: African degenerative leiomyopathy (ADL) is a rare incurable disorder seen in African children, predominantly in southern and south-eastern Africa. ADL presents as chronic intestinal pseudo-obstruction. Management is traditionally conservative, with surgery restricted to the management of complications. We have placed Malone antegrade continence enema (MACE) stomas in the grossly dilated colon to vent accumulated gas and administer antegrade bowel enemas. This is done mainly for relief of gaseous distension and constipation in an attempt to provide symptomatic relief and improve quality of life. In this article, we present our preliminary results of laparoscopically assisted technique to insert a Mic-Key gastrostomy device as a 'button colostomy' in 8 patients over the past 6½ years.
authors.affiliation: Departmet of Paediatrics Surgeryand Dietetics, East London Hospital Complex and Walter Sisulu University, East London, E Cape. chitnis.m@gmail.com
authors.forename: M
authors.initials: M
authors.lastname: Chitnis
authors.forename: C
authors.initials: C
authors.lastname: Lazarus
authors.forename: I
authors.initials: I
authors.lastname: Simango
authors.forename: M
authors.initials: M
authors.lastname: Elsen
authors.forename: C Van
authors.initials: CV
authors.lastname: Rensburg
authors.forename: D Von
authors.initials: DV
authors.lastname: Delft
authors.forename: L
authors.initials: L
authors.lastname: Tovell Trollope
mesh_terms: D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D003125:Colostomy / Q000379:methods*; D004867:Equipment Design; D005260:Female; D005740:Gases; D005774:Gastrostomy / Q000295:instrumentation; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000628:therapy*; D007422:Intestines / Q000502:physiology; D010535:Laparoscopy; D008297:Male; D011788:Quality of Life
chemical_list: D005740:Gases