Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report

Background The antegrade continence enema (ACE) procedure is effective for severe constipation in patients with spina bifida and can improve quality of life (QOL). The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the...
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Autor*in:	Saito, Koichi [verfasserIn] Kinoshita, Yoshiaki [verfasserIn] Takahashi, Yoshiaki [verfasserIn] Kobayashi, Takashi [verfasserIn] Arai, Yuhki [verfasserIn] Ohyama, Toshiyuki [verfasserIn] Yokota, Naoki [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	Antegrade continence enema Monti–Malone procedure Constipation

Übergeordnetes Werk:	Enthalten in: Surgical case reports - Berlin : SpringerOpen, 2015, 7(2021), 1 vom: 06. Mai
Übergeordnetes Werk:	volume:7 ; year:2021 ; number:1 ; day:06 ; month:05

Links:	Volltext

DOI / URN:	10.1186/s40792-021-01197-5

Katalog-ID:	SPR043964680

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520			\|a Background The antegrade continence enema (ACE) procedure is effective for severe constipation in patients with spina bifida and can improve quality of life (QOL). The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. Conclusions MM is less likely to cause complications and is useful as a reconstruction of the ACE procedure.
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allfields	10.1186/s40792-021-01197-5 doi (DE-627)SPR043964680 (DE-599)SPRs40792-021-01197-5-e (SPR)s40792-021-01197-5-e DE-627 ger DE-627 rakwb eng 610 ASE Saito, Koichi verfasserin aut Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The antegrade continence enema (ACE) procedure is effective for severe constipation in patients with spina bifida and can improve quality of life (QOL). The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. Conclusions MM is less likely to cause complications and is useful as a reconstruction of the ACE procedure. Antegrade continence enema (dpeaa)DE-He213 Monti–Malone procedure (dpeaa)DE-He213 Constipation (dpeaa)DE-He213 Kinoshita, Yoshiaki verfasserin aut Takahashi, Yoshiaki verfasserin aut Kobayashi, Takashi verfasserin aut Arai, Yuhki verfasserin aut Ohyama, Toshiyuki verfasserin aut Yokota, Naoki verfasserin aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 7(2021), 1 vom: 06. Mai (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:7 year:2021 number:1 day:06 month:05 https://dx.doi.org/10.1186/s40792-021-01197-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2021 1 06 05
spelling	10.1186/s40792-021-01197-5 doi (DE-627)SPR043964680 (DE-599)SPRs40792-021-01197-5-e (SPR)s40792-021-01197-5-e DE-627 ger DE-627 rakwb eng 610 ASE Saito, Koichi verfasserin aut Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The antegrade continence enema (ACE) procedure is effective for severe constipation in patients with spina bifida and can improve quality of life (QOL). The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. Conclusions MM is less likely to cause complications and is useful as a reconstruction of the ACE procedure. Antegrade continence enema (dpeaa)DE-He213 Monti–Malone procedure (dpeaa)DE-He213 Constipation (dpeaa)DE-He213 Kinoshita, Yoshiaki verfasserin aut Takahashi, Yoshiaki verfasserin aut Kobayashi, Takashi verfasserin aut Arai, Yuhki verfasserin aut Ohyama, Toshiyuki verfasserin aut Yokota, Naoki verfasserin aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 7(2021), 1 vom: 06. Mai (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:7 year:2021 number:1 day:06 month:05 https://dx.doi.org/10.1186/s40792-021-01197-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2021 1 06 05
allfields_unstemmed	10.1186/s40792-021-01197-5 doi (DE-627)SPR043964680 (DE-599)SPRs40792-021-01197-5-e (SPR)s40792-021-01197-5-e DE-627 ger DE-627 rakwb eng 610 ASE Saito, Koichi verfasserin aut Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The antegrade continence enema (ACE) procedure is effective for severe constipation in patients with spina bifida and can improve quality of life (QOL). The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. Conclusions MM is less likely to cause complications and is useful as a reconstruction of the ACE procedure. Antegrade continence enema (dpeaa)DE-He213 Monti–Malone procedure (dpeaa)DE-He213 Constipation (dpeaa)DE-He213 Kinoshita, Yoshiaki verfasserin aut Takahashi, Yoshiaki verfasserin aut Kobayashi, Takashi verfasserin aut Arai, Yuhki verfasserin aut Ohyama, Toshiyuki verfasserin aut Yokota, Naoki verfasserin aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 7(2021), 1 vom: 06. Mai (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:7 year:2021 number:1 day:06 month:05 https://dx.doi.org/10.1186/s40792-021-01197-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2021 1 06 05
allfieldsGer	10.1186/s40792-021-01197-5 doi (DE-627)SPR043964680 (DE-599)SPRs40792-021-01197-5-e (SPR)s40792-021-01197-5-e DE-627 ger DE-627 rakwb eng 610 ASE Saito, Koichi verfasserin aut Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The antegrade continence enema (ACE) procedure is effective for severe constipation in patients with spina bifida and can improve quality of life (QOL). The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. Conclusions MM is less likely to cause complications and is useful as a reconstruction of the ACE procedure. Antegrade continence enema (dpeaa)DE-He213 Monti–Malone procedure (dpeaa)DE-He213 Constipation (dpeaa)DE-He213 Kinoshita, Yoshiaki verfasserin aut Takahashi, Yoshiaki verfasserin aut Kobayashi, Takashi verfasserin aut Arai, Yuhki verfasserin aut Ohyama, Toshiyuki verfasserin aut Yokota, Naoki verfasserin aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 7(2021), 1 vom: 06. Mai (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:7 year:2021 number:1 day:06 month:05 https://dx.doi.org/10.1186/s40792-021-01197-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2021 1 06 05
allfieldsSound	10.1186/s40792-021-01197-5 doi (DE-627)SPR043964680 (DE-599)SPRs40792-021-01197-5-e (SPR)s40792-021-01197-5-e DE-627 ger DE-627 rakwb eng 610 ASE Saito, Koichi verfasserin aut Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The antegrade continence enema (ACE) procedure is effective for severe constipation in patients with spina bifida and can improve quality of life (QOL). The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. Conclusions MM is less likely to cause complications and is useful as a reconstruction of the ACE procedure. Antegrade continence enema (dpeaa)DE-He213 Monti–Malone procedure (dpeaa)DE-He213 Constipation (dpeaa)DE-He213 Kinoshita, Yoshiaki verfasserin aut Takahashi, Yoshiaki verfasserin aut Kobayashi, Takashi verfasserin aut Arai, Yuhki verfasserin aut Ohyama, Toshiyuki verfasserin aut Yokota, Naoki verfasserin aut Enthalten in Surgical case reports Berlin : SpringerOpen, 2015 7(2021), 1 vom: 06. Mai (DE-627)818040475 (DE-600)2809613-7 2198-7793 nnns volume:7 year:2021 number:1 day:06 month:05 https://dx.doi.org/10.1186/s40792-021-01197-5 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 7 2021 1 06 05
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The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. Conclusions MM is less likely to cause complications and is useful as a reconstruction of the ACE procedure.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Antegrade continence enema</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Monti–Malone procedure</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Constipation</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Kinoshita, Yoshiaki</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Takahashi, Yoshiaki</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Kobayashi, Takashi</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Arai, Yuhki</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Ohyama, Toshiyuki</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Yokota, Naoki</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">Surgical case reports</subfield><subfield code="d">Berlin : SpringerOpen, 2015</subfield><subfield code="g">7(2021), 1 vom: 06. 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author	Saito, Koichi
spellingShingle	Saito, Koichi ddc 610 misc Antegrade continence enema misc Monti–Malone procedure misc Constipation Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report
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topic_title	610 ASE Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report Antegrade continence enema (dpeaa)DE-He213 Monti–Malone procedure (dpeaa)DE-He213 Constipation (dpeaa)DE-He213
topic	ddc 610 misc Antegrade continence enema misc Monti–Malone procedure misc Constipation
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title	Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report
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title_full	Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report
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author_browse	Saito, Koichi Kinoshita, Yoshiaki Takahashi, Yoshiaki Kobayashi, Takashi Arai, Yuhki Ohyama, Toshiyuki Yokota, Naoki
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title_sort	usefulness of the monti–malone procedure as a reconstruction of the antegrade continence enema procedure: a case report
title_auth	Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report
abstract	Background The antegrade continence enema (ACE) procedure is effective for severe constipation in patients with spina bifida and can improve quality of life (QOL). The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. Conclusions MM is less likely to cause complications and is useful as a reconstruction of the ACE procedure.
abstractGer	Background The antegrade continence enema (ACE) procedure is effective for severe constipation in patients with spina bifida and can improve quality of life (QOL). The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. Conclusions MM is less likely to cause complications and is useful as a reconstruction of the ACE procedure.
abstract_unstemmed	Background The antegrade continence enema (ACE) procedure is effective for severe constipation in patients with spina bifida and can improve quality of life (QOL). The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. Conclusions MM is less likely to cause complications and is useful as a reconstruction of the ACE procedure.
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title_short	Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report
url	https://dx.doi.org/10.1186/s40792-021-01197-5
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author2	Kinoshita, Yoshiaki Takahashi, Yoshiaki Kobayashi, Takashi Arai, Yuhki Ohyama, Toshiyuki Yokota, Naoki
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up_date	2024-07-03T22:04:21.327Z
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The Monti–Malone procedure (MM), which is a method of creating an enema tract from the colon, has been reported as an alternative to the ACE procedure when the appendix cannot be used. We report the usefulness of MM as a reconstruction of the antegrade continence enema procedure. Case presentation Our patient was a 22-year-old man with congenital spina bifida and hydrocephalus. Ventriculoperitoneal (VP) shunt surgery was performed immediately after birth, and preventative appendectomy was carried out during VP shunt repair when 4 months old. At 5 years of age, the ACE procedure using a balloon-button gastrostomy tube was performed for intractable chronic constipation. Simple management was expected, but after 17 years of age, he experienced increased stool leakage around the gastrostomy tube and his QOL declined due to difficulty in managing the ACE. Therefore, reconstruction of the ACE procedure by MM was performed. After reconstruction, the ACE performed well without any complications. The patient is currently satisfied because management of the ACE is easier than before, and his QOL has markedly improved without stool leakage and dermatitis. 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Usefulness of the Monti–Malone procedure as a reconstruction of the antegrade continence enema procedure: a case report

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