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HK J Paediatr (New Series)
Vol 22. No. 4,
2017
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HK J Paediatr (New Series) 2017;22:217-220
Original Article
Paediatric Malone Antegrade Continence Enema (MACE): The Hong Kong Experience
PMY Tang, KLY Chung, YCL Leung, JWS Hung, FSD Yam, CSW Liu, NSY Chao, MWY Leung, KKW Liu, YCF Kwok, CWH Ng Department of Surgery, Queen Elizabeth Hospital & United Christian Hospital, Hong Kong, China PMY Tang (鄧敏儀) FRCS(Paed Surg), FHKAM KLY Chung (鍾立人) FRCS(Paed Surg), FHKAM YCL Leung (梁芷綸) MRCS JWS Hung (孔詠雪) FRCS(Paed Surg), FHKAM FSD Yam (任石達) MRCS CSW Liu (廖思維) FRCS(Paed Surg), FHKAM NSY Chao (趙式言) FRCS(Paed Surg), FHKAM MWY Leung (梁偉業) FRCS(Paed Surg), FHKAM KKW Liu (廖鑑榮) FHKAM YCF Kwok (郭彩鳳) BN(Post Registration), MPHC, MBA(Health Services Management) CWH Ng (伍慧卿) BScN(Hons), MScHC, MSc (Gastroenterology) Correspondence to: Dr. PMY Tang Email: tangpaula@gmail.com Received June 27, 2016
Abstract Introduction: Faecal incontinence in children is a common and socially embarrassing condition. Surgical intervention maybe required when medical treatment fails. Malone antegrade continence enema (MACE) is a well established way to achieve social continence via regular evacuation of the colon through the appendiceal conduit. Methods: We retrospectively reviewed the clinical records of patients who have undergone the MACE procedure in our center from 2009 to 2016. Results: Eight patients were recruited in the review and all of them were able to achieve a Rintala score of >=15 after the MACE procedure. Conclusions: The MACE procedure is safe and effective in the management of children with faecal incontinence and refractory constipation. Careful patient selection and a team of dedicated specialty nurses are essential for optimal outcome. Keyword : Faecal incontinence; MACE; Rintala Abstract in Chinese
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