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Published in: Techniques in Coloproctology 4/2009

01-12-2009 | Case Report

Successful pregnancy and delivery following a Malone antegrade continence enema procedure

Authors: M. C. Macdonald, J. P. Garner, K. F. Selby, R. Nelson

Published in: Techniques in Coloproctology | Issue 4/2009

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Abstract

Malone antegrade continence enema (MACE) procedures are an effective treatment for both intractable faecal incontinence and constipation of neurogenic aetiology and have traditionally been used in a paediatric setting. MACE procedures are now being performed more commonly in adults suffering idiopathic chronic constipation where they are also effective. Increasing use in otherwise healthy adult females raises concerns about the durability of the appendiceal conduit should the patient become pregnant. We report the first case of successful pregnancy after a MACE procedure with an umbilical stoma and discuss the impact of the pregnancy on MACE function.
Literature
1.
go back to reference Gk Blair, Djonlic K, Fraser GC, Arnold WD, Murphy JJ, Irwin B (1992) The bowel management tube: an effective means of controlling faecal incontinence. J Pediatr Surg 27:1269–1272CrossRef Gk Blair, Djonlic K, Fraser GC, Arnold WD, Murphy JJ, Irwin B (1992) The bowel management tube: an effective means of controlling faecal incontinence. J Pediatr Surg 27:1269–1272CrossRef
3.
go back to reference Malone PS, Ransley PG, Kiely EM (1990) Preliminary report: the antegrade continence enema. Lancet 336:1217–1218CrossRefPubMed Malone PS, Ransley PG, Kiely EM (1990) Preliminary report: the antegrade continence enema. Lancet 336:1217–1218CrossRefPubMed
4.
5.
go back to reference Poirer M, Abcarian H, Nelson R (2007) Malone antegrade continent enema: an alternative to resection in severe defecation disorders. Dis Colon Rectum 50:22–28CrossRef Poirer M, Abcarian H, Nelson R (2007) Malone antegrade continent enema: an alternative to resection in severe defecation disorders. Dis Colon Rectum 50:22–28CrossRef
6.
go back to reference Hirst GR, Arumugam PJ, Watkins AJ et al (2005) Antegrade continence enema in the treatment of obstructed defaecation with or without faecal incontinence. Tech Coloproct 9:217–221CrossRef Hirst GR, Arumugam PJ, Watkins AJ et al (2005) Antegrade continence enema in the treatment of obstructed defaecation with or without faecal incontinence. Tech Coloproct 9:217–221CrossRef
7.
go back to reference Teichman JM, Zahibi N, Kraus SR, Harris JM, Barber DB (2003) Long-term results for Malone antegrade continence enema for adults with neurogenic bowel disease. Urology 61:502–506CrossRefPubMed Teichman JM, Zahibi N, Kraus SR, Harris JM, Barber DB (2003) Long-term results for Malone antegrade continence enema for adults with neurogenic bowel disease. Urology 61:502–506CrossRefPubMed
8.
go back to reference Wren FJ, Reese CT, Decter RM (2003) Durability of the Malone antegrade continence enema in pregnancy. Urology 61:644CrossRefPubMed Wren FJ, Reese CT, Decter RM (2003) Durability of the Malone antegrade continence enema in pregnancy. Urology 61:644CrossRefPubMed
9.
go back to reference Kamm MA, Hawley PR, Lennard-Jones JE (1988) Outcome of colectomy for severe idiopathic constipation. Gut 29:969–973CrossRefPubMed Kamm MA, Hawley PR, Lennard-Jones JE (1988) Outcome of colectomy for severe idiopathic constipation. Gut 29:969–973CrossRefPubMed
10.
go back to reference Sugarman ID, Malone PS, Terry TR, Koyle MA (1998) Transversely tubularized ileal segments for the Mitrofanoff or Malone antegrade colonic enema procedures: the Monti principle. Br J Urol 81:253–256PubMed Sugarman ID, Malone PS, Terry TR, Koyle MA (1998) Transversely tubularized ileal segments for the Mitrofanoff or Malone antegrade colonic enema procedures: the Monti principle. Br J Urol 81:253–256PubMed
11.
go back to reference Squire R, Keily EM, Carr B, Ransley PG, Duffy PG (1993) The clinical application of the Malone antegrade colonic enema. J Pediatr Surg 28:1012CrossRefPubMed Squire R, Keily EM, Carr B, Ransley PG, Duffy PG (1993) The clinical application of the Malone antegrade colonic enema. J Pediatr Surg 28:1012CrossRefPubMed
12.
go back to reference Liard A, Bocquet I, Bachy B, Mitrofanoff P (2002) Survey on satisfaction of patients with Malone continent cecostomy. Prog Urol 12:1256–1260PubMed Liard A, Bocquet I, Bachy B, Mitrofanoff P (2002) Survey on satisfaction of patients with Malone continent cecostomy. Prog Urol 12:1256–1260PubMed
Metadata
Title
Successful pregnancy and delivery following a Malone antegrade continence enema procedure
Authors
M. C. Macdonald
J. P. Garner
K. F. Selby
R. Nelson
Publication date
01-12-2009
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 4/2009
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-009-0506-2

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