Antegrade Continence Enemas for Pediatric Functional Constipation: A Systematic Review

jpedsurg.org

Despite optimal conservative and medical treatment, some children with functional constipation (FC) continue to experience symptoms. Antegrade continence enema (ACE) surgery has been suggested as the primary surgical option after less invasive pharmacological and non-pharmacological interventions have not been effective. The purpose of this systematic review was to assess the outcomes of ACE for children with FC.

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Article · Sep 2024 · 1 min read

In brief

This systematic review evaluates surgical outcomes of antegrade continence enema (ACE) procedures in children with refractory functional constipation who have failed conservative medical management. The review synthesizes evidence on ACE effectiveness as a surgical intervention for pediatric patients requiring advanced bowel management strategies.

ACE surgery is reserved for pediatric FC cases refractory to optimal conservative and medical management.
Systematic review evaluates ACE outcomes specifically in the functional constipation population.
ACE represents the primary surgical intervention after non-invasive therapies fail in children with FC.

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