{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T23:52:10Z","timestamp":1778629930039,"version":"3.51.4"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[1994,10,1]],"date-time":"1994-10-01T00:00:00Z","timestamp":780969600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1994,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The technique of appendicocaecostomy produces a continent catheterizable channel through which colonic washouts are given. This procedure was performed on six women of mean age 33\u00b75 years with severe idiopathic constipation (mean stool frequency less than 1 per week) resistant to medical therapy. All patients had prolonged colonic transit times, three had evidence of obstructed defaecation and all had reduced or absent voluntary anal squeeze pressure. Patients found the appendicocaecostomy and catheterization acceptable, and symptoms of abdominal distension and pain resolved. All patients were able to initiate defaecation and evacuate the colon within 1h of irrigation, and no patient had appreciable incontinence. Irrigation was necessary every 48\u201372h. Adults with intractable constipation and pelvic floor weakness would be at risk of faecal incontinence after ileorectal anastomosis; it is in these patients that appendicocaecostomy has potential for the greatest benefit.<\/jats:p>","DOI":"10.1002\/bjs.1800811030","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T19:50:59Z","timestamp":1172951459000},"page":"1490-1491","source":"Crossref","is-referenced-by-count":64,"title":["Antegrade enemas for the treatment of severe idiopathic constipation"],"prefix":"10.1093","volume":"81","author":[{"given":"J","family":"Hill","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Manchester Royal Infirmary , Oxford Road, Manchester M13 9WL,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Stott","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Manchester Royal Infirmary , Oxford Road, Manchester M13 9WL,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I","family":"MacLennan","sequence":"additional","affiliation":[{"name":"Department of Colorectal Surgery, Manchester Royal Infirmary , Oxford Road, Manchester M13 9WL,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1994,10,1]]},"reference":[{"key":"2024092813185308100_bib1","doi-asserted-by":"crossref","first-page":"625","DOI":"10.1002\/bjs.1800750702","article-title":"Surgery for constipation","volume":"75","author":"Keighley","year":"1988","journal-title":"Br J Surg"},{"key":"2024092813185308100_bib2","doi-asserted-by":"crossref","first-page":"969","DOI":"10.1136\/gut.29.7.969","article-title":"Outcome of colectomy for severe idiopathic constipation","volume":"29","author":"Kamm","year":"1988","journal-title":"Gut"},{"key":"2024092813185308100_bib3","doi-asserted-by":"crossref","first-page":"854","DOI":"10.1002\/bjs.1800731031","article-title":"Diagnosis and surgical management of intractable constipation","volume":"73","author":"Roe","year":"1986","journal-title":"Br J Surg"},{"key":"2024092813185308100_bib4","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1007\/BF01647659","article-title":"The value of age of onset and rectal emptying in predicting the outcome of colectomy for severe idiopathic constipation","volume":"7","author":"van der Sijp","year":"1992","journal-title":"Int J Colorectal Dis"},{"key":"2024092813185308100_bib5","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1002\/bjs.1800741217","article-title":"Randomized trial comparing anorectal myectomy and controlled anal dilatation for outlet obstruction","volume":"74","author":"Yoshioka","year":"1987","journal-title":"Br J Surg"},{"key":"2024092813185308100_bib6","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1002\/bjs.1800720623","article-title":"Experience of posterior division of the puborectalis muscle in the management of chronic constipation","volume":"72","author":"Barnes","year":"1985","journal-title":"Br J Surg"},{"key":"2024092813185308100_bib7","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1007\/BF02554897","article-title":"Proctocolectomy with restorative ileoanal reservoir for severe idiopathic constipation. Report of two cases","volume":"31","author":"Nicholls","year":"1988","journal-title":"Dis Colon Rectum"},{"key":"2024092813185308100_bib8","doi-asserted-by":"crossref","first-page":"1217","DOI":"10.1016\/0140-6736(90)92834-5","article-title":"Preliminary report: the antegrade continence enema","volume":"336","author":"Malone","year":"1990","journal-title":"Lancet"},{"key":"2024092813185308100_bib9","doi-asserted-by":"crossref","first-page":"847","DOI":"10.1136\/gut.10.10.842","article-title":"A new method for studying gut transit times using radio-opaque markers","volume":"10","author":"Hinton","year":"1969","journal-title":"Gut"},{"key":"2024092813185308100_bib10","doi-asserted-by":"crossref","first-page":"964","DOI":"10.1007\/BF02552274","article-title":"The appreciation of rectal distension in fecal incontinence","volume":"32","author":"Ferguson","year":"1989","journal-title":"Dis Colon Rectum"},{"key":"2024092813185308100_bib11","doi-asserted-by":"crossref","first-page":"614","DOI":"10.1002\/bjs.1800710817","article-title":"Slowed conduction in the pudendal nerve in idiopathic (neurogenic) faecal incontinence","volume":"71","author":"Kiff","year":"1984","journal-title":"Br J Surg"},{"key":"2024092813185308100_bib12","first-page":"401","article-title":"Safety in colonic resection","volume":"61","author":"Muir","year":"1968","journal-title":"Proc R Soc Med"},{"key":"2024092813185308100_bib13","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1002\/bjs.1800670203","article-title":"Intraoperative irrigation of the colon to permit primary anastomosis","volume":"67","author":"Dudley","year":"1980","journal-title":"Br J Surg"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800811030","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/81\/10\/1490\/59402425\/bjs1800811030.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/81\/10\/1490\/59402425\/bjs1800811030.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T13:18:59Z","timestamp":1727529539000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/81\/10\/1490\/6165180"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,10,1]]},"references-count":13,"journal-issue":{"issue":"10","published-online":{"date-parts":[[1994,10,1]]},"published-print":{"date-parts":[[1994,10,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800811030","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1994,10]]},"published":{"date-parts":[[1994,10,1]]}}}