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Endoscopically placed caecostomy buttons: a trial ACE procedure

Biyani DK, Barrow EJ, Hodson P, Watson A & Maclennan I (2007) Endoscopically placed caecostomy buttons: a trial ACE procedure. Colorectal Disease, 9 (4), pp. 373-376.

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.

constipation; MIC-KEY button; ACE; caecostomy

Colorectal Disease: Volume 9, Issue 4

Author(s)Biyani, Deepak K; Barrow, Elizabeth J; Hodson, Pauline; Watson, Angus; Maclennan, Ian
Publication date04/05/2007
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