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South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361

S. Afr. j. surg. vol.49 n.1 Cape Town Feb. 2011

 

GASTRO-INTESTINAL

 

Laparoscopically inserted button colostomy as a venting stoma and access port for the administration of antegrade enemas in African degenerative leiomyopathy

 

 

M. ChitnisI; C. LazarusII; I. SimangoIII; M. ElsenIV; C. van RensburgV; D. Von DelftVI; L. Tovell TrollopeVII

IM.S. (gen. Surg.), M.Ch. (paed. Surg.), Cert. Paed. Surg. (S.A.); Department of Paediatric Surgery and Dietetics, East London Hospital Complex and Walter Sisulu University, East London, E Cape
IIF.R.C.S. (eng.); Department of Paediatric Surgery and Dietetics, East London Hospital Complex and Walter Sisulu University, East London, E Cape
IIIF.C.S. (S.A.), Cert. Paed. Surg. (s.A.); Department of Paediatric Surgery and Dietetics, East London Hospital Complex and Walter Sisulu University, East London, E Cape
IVM.D.; Department of Paediatric Surgery and Dietetics, East London Hospital Complex and Walter Sisulu University, East London, E Cape
VM.B. Ch.B; Department of Paediatric Surgery and Dietetics, East London Hospital Complex and Walter Sisulu University, East London, E Cape
VIM.B. Ch.B., M.R.C.S.; Department of Paediatric Surgery and Dietetics, East London Hospital Complex and Walter Sisulu University, East London, E Cape
VIIB.Sc. DIETETICS; Department of Paediatric Surgery and Dietetics, East London Hospital Complex and Walter Sisulu University, East London, E Cape

 

 


ABSTRACT

African degenerative leiomyopathy (ADL) is a rare incurable disorder seen in African children, predominantly in southern and south-eastern Africa. ADL presents as chronic intestinal pseudo-obstruction. Management is traditionally conservative, with surgery restricted to the management of complications. We have placed Malone antegrade continence enema (MACE) stomas in the grossly dilated colon to vent accumulated gas and administer antegrade bowel enemas. This is done mainly for relief of gaseous distension and constipation in an attempt to provide symptomatic relief and improve quality of life. In this article, we present our preliminary results of laparoscopically assisted technique to insert a Mic-Key gastrostomy device as a 'button colostomy' in 8 patients over the past 6½ years.


 

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REFERENCES

1. Rode H, Moore SW, Kaschula ROC, Cywes S. Degenerative leiomyopathy in children. A clinic-pathological study. Pediatr Surg Int 1992;7:23-29.         [ Links ]

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3. Chitnis M, Chowdhary S, Lazarus C. Application of the Malone antegrade continence enema principle in degenerative leiomyopathy. Pediatr Surg Int 2001;17:470-471.         [ Links ]

4. Fukunaga K, Kimura K, Lawrence JP, Soper RT, Phearman LA. Button device for antegrade enema in the treatment of incontinence and constipation. J Pediatr Surg 1996; 31:1038-1039.         [ Links ]

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