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Control of faecal incontinence using the Malone antegrade continence enema procedure: a critical appraisal

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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.

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Authors and Affiliations

  1. Department of Surgery, John Radcliffe Hospital, Headington, OX3 9DU, Oxford, UK

    G. J. Toogood, P. A. Bryant & N. E. Dudley

Authors
  1. G. J. Toogood
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  2. P. A. Bryant
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  3. N. E. Dudley
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Toogood, G.J., Bryant, P.A. & Dudley, N.E. Control of faecal incontinence using the Malone antegrade continence enema procedure: a critical appraisal. Pediatr Surg Int 10, 37–39 (1995). https://doi.org/10.1007/BF00174440

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  • DOI: https://doi.org/10.1007/BF00174440

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