(Malone Procedure; Antegrade Colonic Enema Procedure)
|The Appendix Can Be Used to Deliver Enemas|
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Reasons for Procedure
- Excess bleeding
- Adverse reaction to anesthesia such as light-headedness, low blood pressure, or wheezing
- Leakage of tube or appendix
- Narrowed or blocked tube that requires a second surgery to fix it
What to Expect
Prior to Procedure
Description of the Procedure
How Long Will It Take?
Will It Hurt?
Average Hospital Stay
- Follow your doctor’s instructions on cleaning the incision site. Leave the incision open to air.
- Some leakage is normal. Try to keep area dry.
- Avoid vigorous sports or activity until you have recovered after surgery
- Once recovered there should be no activity restrictions, including swimming.
- Leave the tube in place after surgery until your doctor lets you know it is okay to remove it.
- Tape the tube in place while you heal. This will keep the tube in ideal position.
- Follow directions to place and use the tube once you have healed.
Call Your Doctor
- Have trouble using the tube
- Tube falls out before healing time is done
- Pain that is not controlled with medication
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, excessive bleeding, or any discharge from the incision site
- Abdominal pain
- Trouble passing enema through tube
American Society of Colon and Rectal Surgeons https://www.fascrs.org
Healthy Children—American Academy of Pediatrics http://www.healthychildren.org
Canadian Association of Gastroenterology http://www.cag-acg.org
Sick Kids—The Hospital for Sick Children http://www.sickkids.ca
Appendicostomy (Malone Procedure). Cincinnati Children’s website. Available at: http://www.cincinnatichildrens.org/service/c/colorectal/treatments/appendicostomy. Accessed October 21, 2012.
Appendicostomy. Intermountain Healthcare website. Available at: https://intermountainhealthcare.org/ext/Dcmnt?ncid=521117329. Accessed October 21, 2012.
Levitt MA, Soffer SZ, Péan A. Continent appendicostomy in the bowel management of fecally incontinent children. J Pediatr Surg. 1997;32(11):1630-1633.
Taiwo A, Rangel SJ, Bischoff A, Peña A, Levitt MA. Laparoscopic-assisted Malone appendicostomy in the management of fecal incontinence in children. J Laparoendosc Adv Surg Tech A. 2011;21(5):455-459.
- Reviewer: Michael Woods, MD
- Review Date: 06/2015 -
- Update Date: 06/24/2013 -