P. Christensen et al., Neurogenic colorectal dysfunction - use of new antegrade and retrograde colonic wash-out methods, SPINAL CORD, 38(4), 2000, pp. 255-261
Objectives: To evaluate results of the Enema Continence Catheter (ECC) and
the Malone Antegrade Continence Enema (MACE) applied in patients with sever
e neurogenic colorectal dysfunction.
Methods: The ECC was offered to 21 patients (mean age 39.9, range 7-72 year
s). The MACE was used in eight patients (mean age 32.8 years, range 15-66 y
ears). All patients still using the ECC or the MACE at follow-up were inter
viewed. Results from patients not available for follow-up were drawn from h
ospital records.
Results: Overall success with the ECC was found in 12 of 21 patients (57%).
In patients with faecal incontinence, the ECC was successful in eight out
of eleven patients (73%), while four out of ten patients (40%) with constip
ation were successfully treated. Overall success with the MACE was found in
seven out of eight patients (87%). Successful treatment with the ECC or th
e IMAGE was followed by significant improvement in quality of life.
Conclusion: The ECC is a simple therapeutic method in severe neurogenic col
orectal dysfunction. If the ECC fails the MACE, as a minor and reversible o
peration, is a suitable alternative to more extensive procedures.