antegrade continence enema
Procedure creating a conduit for administering enemas from above to achieve bowel emptying and continence.
Full Definition
An antegrade continence enema (ACE) is a surgical procedure that creates a conduit, typically using the appendix or a small bowel tube, to allow administration of enemas from above rather than through the rectum. This technique enables effective bowel washout and helps achieve fecal continence in patients with conditions like spina bifida, anorectal malformations, or severe constipation. The ACE procedure has significantly improved quality of life for many pediatric patients with bowel dysfunction. Medical documentation should use the complete term initially, with subsequent references potentially using the ACE abbreviation if clearly defined.
Usage
Usage note: May be abbreviated as ACE after first use; ensure clear definition when abbreviation is introduced.
In Context
- "An antegrade continence enema was recommended for long-term bowel management." — Treatment plan
- "The ACE procedure resulted in improved social continence for the patient." — Outcomes study