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Endoscopically placed caecostomy buttons: a trial ACE procedure
Author(s) -
Biyani D.,
Barrow E.,
Hodson P.,
Watson A. J. M.,
Maclennan I.
Publication year - 2007
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/j.1463-1318.2006.01110.x
Subject(s) - medicine , enema , surgery
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.