Left-colon antegrade continence enema (LACE) procedure for fecal incontinence

Antegrade Continence Enema in the Treatment of Congenital Fecal Incontinence Beyond Childhood

“…13 Some authors have had good results with left colonic antegrade continence enema (LACE) in patients with slow left colon. 14,15 However, in accordance with the study by Lemelle et al, 16 we found that in patients with myelodysplasia ACE in the right colon is effective.…”

Percutaneous endoscopic sigmoid colostomy for irrigation in the management of bowel dysfunction of adults with central neurologic disease

“…For children, good results have been reported with antegrade colonic enemas (ACEs) through a catheterizable conduit constructed from the appendix, ileum, cecum [17][18][19][20] or left colon [21][22][23]. Unlike PESCI, this procedure requires an open or laparoscopic operation with the patient under general anesthesia and carries a complication rate of up to 50%, a stenosis rate of 30%, and a revision rate of 41% [17,20].…”

Laparoscopic caecodivision ACE (antegrade continence enema) procedure

“…Antegrade continent enema (ACE) procedures were initially more commonly used in children [2,3] but have also been shown to be effective at treating selected adults suffering from constipation [4][5][6][7]. Many modifications of the original Malone procedure have been described, in order to overcome some of the initial problems including competition for appendix, stomal stricture and reflux of caecal content.…”

“…Many modifications of the original Malone procedure have been described, in order to overcome some of the initial problems including competition for appendix, stomal stricture and reflux of caecal content. These include different open and laparoscopic techniques, and appendiceal, caecodivision and ileal procedures [2,6,[8][9][10].…”

“…Since the first description of the antegrade colonic enema (ACE) procedure by Malone in 1990 [1], multiple modifications have been described to overcome some of the initial problems [2,6,[8][9][10]. Below, we describe what we believe to be the first described laparoscopic caecodivision method of ACE procedure in the literature.…”