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• W4328001201 abstract "No AccessJournal of UrologyAugmentation/Reconstruction1 Oct 2002Use of A Monti Channel For Administration of Antegrade Continence Enemas Elizabeth B. Yerkes, Richard C. Rink, Mark P. Cain, and Anthony J. Casale Elizabeth B. YerkesElizabeth B. Yerkes More articles by this author , Richard C. RinkRichard C. Rink More articles by this author , Mark P. CainMark P. Cain More articles by this author , and Anthony J. CasaleAnthony J. Casale More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)64436-9AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Success with Malone antegrade continence enemas (MACE) requires reliable access to the colon and a customized enema regimen. Use of the appendix in situ provides a natural and well-vascularized conduit. When the appendix is absent or inadequate, alternative techniques are required. We report our experience using Monti channels to administer antegrade continence enemas. Materials and Methods: Of the 106 MACE procedures performed in 53 months a Monti-MACE was created in 13. Indications for use of ileum, technique, ease of catheterization and incidence of complications were reviewed. Results: Mean followup was 21.7 months. Two patients had transient difficulty advancing the catheter into the cecum. Stoma revisions were required for critical stenosis in 2 patients (15.4%). Stoma leakage occurred in 1 patient after multiple stoma revisions. Conclusions: The Monti-MACE provides continent access to the colon for antegrade enemas. The rate of stomal revision is only slightly higher than that reported for appendicocecostomy. While use of the appendix in situ remains our preference, reconfigured ileum is a reliable substitute in patients without a suitable appendix. References 1 : Preliminary report: the antegrade continence enema. Lancet1990; 336: 1217. 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Poster 48, American Academy of Pediatrics, October 2000 Google Scholar From the Department of Urology, Indiana University School of Medicine, Indianapolis, Indiana© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byChu D, Balsara Z, Routh J, Ross S and Wiener J (2012) Experience with Glycerin for Antegrade Continence Enema in Patients with Neurogenic BowelJournal of Urology, VOL. 189, NO. 2, (690-693), Online publication date: 1-Feb-2013.Henrichon S, Hu B and Kurzrock E (2011) Detailed Assessment of Stomal Incontinence After Malone Antegrade Continence Enema: Development of a New Grading ScaleJournal of Urology, VOL. 187, NO. 2, (652-655), Online publication date: 1-Feb-2012.Bani-Hani A, Cain M, Kaefer M, Meldrum K, King S, Johnson C and Rink R (2008) The Malone Antegrade Continence Enema: Single Institutional ReviewJournal of Urology, VOL. 180, NO. 3, (1106-1110), Online publication date: 1-Sep-2008.DeFOOR W, MINEVICH E, REDDY P, BARQAWI A, KITCHENS D, SHELDON C and KOYLE M (2018) PERFORATION OF MALONE ANTEGRADE CONTINENCE ENEMA: DIAGNOSIS AND MANAGEMENTJournal of Urology, VOL. 174, NO. 4 Part 2, (1644-1646), Online publication date: 1-Oct-2005.HERNDON C, CAIN M, CASALE A and RINK R (2018) THE COLON FLAP/EXTENSION MALONE ANTEGRADE CONTINENCE ENEMA: AN ALTERNATIVE TO THE MONTI-MALONE ANTEGRADE CONTINENCE ENEMAJournal of Urology, VOL. 174, NO. 1, (299-302), Online publication date: 1-Jul-2005.KURZROCK E, KARPMAN E and STONE A (2018) COLONIC TUBES FOR THE ANTEGRADE CONTINENCE ENEMA: COMPARISON OF SURGICAL TECHNIQUEJournal of Urology, VOL. 172, NO. 2, (700-702), Online publication date: 1-Aug-2004. Volume 168Issue 4 Part 2October 2002Page: 1883-1885 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.Keywordsenemafecal incontinenceileum, catheterizationMetricsAuthor Information Elizabeth B. Yerkes More articles by this author Richard C. Rink More articles by this author Mark P. Cain More articles by this author Anthony J. Casale More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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