Citation 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. https://doi.org/10.1111/j.1463-1318.2006.01110.x
Abstract 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.