Constipation Research Today is a free monthly online journal that collates and summarizes the latest research about Constipation, including details on infant, child, baby and toddler constipation, symptoms, causes, remedies.

Endoscopically placed caecostomy buttons: a trial ACE procedure.

Biyani D, Barrow E, Hodson P, Watson AJ, Maclennan I

Colorectal Unit, Department of Surgery, Manchester Royal Infirmary, Manchester, UK.

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.

Published 16 April 2007 in Colorectal Dis, 9(4): 373-6.
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