Presenter Status
Fellow
Abstract Type
Research
Primary Mentor
Rebecca Rentea MD
Start Date
12-5-2021 11:30 AM
End Date
12-5-2021 1:30 PM
Presentation Type
Poster Presentation
Description
Purpose: Malone antegrade continence enemas (MACE) provide a conduit in which the patient can achieve improved continence, be clean of stool, and gain independence in maintaining bowel function. The Mini-ACE® is a low-profile balloon button that is used to facilitate administration of antegrade enemas. We sought to describe our practice and short-term outcomes.
Methods: We present our experience using the Mini-ACE® at Children’s Mercy – Kansas City from April 2019 to September 2020. Patient demographics, colorectal diagnoses, tube sizes, flush regimens, patient experience and outcomes were examined.
Results: Thirty patients were included; 18 (60%) were male. The average age at Mini-ACE® insertion was 9.3 years (SD +/- 5). The most common diagnoses were functional constipation (n=12), anorectal malformation (n=9) and Hirschsprung disease (n=3). Eighteen of 30 patients/families (60%) reported no post-operative problems. Six (20%) noted inadvertent tube dislodgement requiring replacement, but only one required replacement within one month of initial placement. No patients required operative revision.
Conclusion: While post-operative outcomes are limited, the Mini-ACE® appears to be a safe and low-profile alternative to other antegrade continence enema access devices. Further research is needed directly comparing complications and patient satisfaction rates between different MACE devices and overall quality of life.
MeSH Keywords
Anorectal malformation; Hirschsprung disease; functional constipation; bowel management; Malone appendicostomy
Mini-ACE® low-profile appendicostomy button
Purpose: Malone antegrade continence enemas (MACE) provide a conduit in which the patient can achieve improved continence, be clean of stool, and gain independence in maintaining bowel function. The Mini-ACE® is a low-profile balloon button that is used to facilitate administration of antegrade enemas. We sought to describe our practice and short-term outcomes.
Methods: We present our experience using the Mini-ACE® at Children’s Mercy – Kansas City from April 2019 to September 2020. Patient demographics, colorectal diagnoses, tube sizes, flush regimens, patient experience and outcomes were examined.
Results: Thirty patients were included; 18 (60%) were male. The average age at Mini-ACE® insertion was 9.3 years (SD +/- 5). The most common diagnoses were functional constipation (n=12), anorectal malformation (n=9) and Hirschsprung disease (n=3). Eighteen of 30 patients/families (60%) reported no post-operative problems. Six (20%) noted inadvertent tube dislodgement requiring replacement, but only one required replacement within one month of initial placement. No patients required operative revision.
Conclusion: While post-operative outcomes are limited, the Mini-ACE® appears to be a safe and low-profile alternative to other antegrade continence enema access devices. Further research is needed directly comparing complications and patient satisfaction rates between different MACE devices and overall quality of life.
Comments
Abstract Only.