Journal article
Control of faecal incontinence using the Malone antegrade continence enema procedure: a critical appraisal
GJ Toogood, PA Bryant, NE Dudley
Pediatric Surgery International | Springer Science and Business Media LLC | Published : 1995
DOI: 10.1007/bf00174440
Abstract
Intractable faecal incontinence remains a major clinical challenge. Children with this problem have been treated using the Malone antegrade continence enema procedure. The first ten consecutive cases carried out in this centre have been prospectively studied and objectively assessed. The children were reviewed for a period of up to 18 months. The technical success of the operation and the improvement in quality of life were evaluated using two separate scoring systems. Nine out of ten patients gained maximum or near-maximum marks in both assessments. Complications were rare, and the procedure can be regarded as a successful treatment of intractable faecal incontinence in children.