PMY Tang, KLY Chung, YCL Leung, JWS Hung, FSD Yam, CSW Liu, NSY Chao, MWY Leung, KKW Liu, YCF Kwok, CWH Ng

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.