{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:10:08Z","timestamp":1787008208825,"version":"build-2736575974"},"reference-count":31,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,6,1]],"date-time":"2025-06-01T00:00:00Z","timestamp":1748736000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2025,6,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The Neo-Malone (neo-appendicostomy) is a modification of the antegrade continence enema (ACE) procedure that constructs a new appendix using a cecal flap from the mesenteric side of the colon. This technique is indicated in cases where the native appendix has either been previously resected or is insufficiently long for a standard Malone procedure. Recently, a linear GIA\u2122 stapler use has been introduced to streamline and simplify the Neo-Malone creation. This study evaluates the outcomes of patients who underwent stapled Neo-Malone creation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective review of patients who underwent laparoscopic-assisted Neo-Malone creation from August 2021 to June 2024 at a single institution. Variables included demographics, surgical history, postoperative complications, and functional outcomes. Descriptive statistics were performed to analyze quantitative variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Six patients underwent stapled Neo-Malone creation at a mean age of 11 years (range 7\u201319). The underlying conditions included neurogenic bowel (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 4, 67%) and cloacal malformation (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2, 33%). Four patients (67%) underwent concurrent ileovesicostomy or Mitrofanoff appendicovesicostomy. Complications included parastomal granulation tissue (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2, 33.3%), channel prolapse (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1, 17%), and leakage from the channel (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1, 17%). No stenosis or need for revision operations was reported. At a median follow-up of 14 months (IQR 12\u201320), all patients were clean for stool with successful Neo-Malone flushes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Stapled Neo-Malone creation appears to be a safe and technically simpler alternative to the traditional technique, potentially reducing operative time. The functional outcomes and rates of surgical complications are comparable to those of other ACE channel types.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2024.0365","type":"journal-article","created":{"date-parts":[[2025,5,5]],"date-time":"2025-05-05T06:25:26Z","timestamp":1746426326000},"page":"494-500","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Stapled Neo-Malone Creation: A Simplified Technique with Comparable Outcomes for Antegrade Continence Enemas"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2669-9724","authenticated-orcid":false,"given":"Ismael","family":"Elhalaby","sequence":"first","affiliation":[{"name":"Comprehensive Colorectal Center, Children\u2019s Mercy Hospital\/Kansas City, Kansas City, Missouri, USA."},{"name":"Tanta University Hospital, Faculty of Medicine, Tanta University, Tanta, Egypt."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irene Isabel P.","family":"Lim","sequence":"additional","affiliation":[{"name":"Comprehensive Colorectal Center, Children\u2019s Mercy Hospital\/Kansas City, Kansas City, Missouri, USA."},{"name":"Department of Pediatric Surgery, Children\u2019s Mercy Hospital\/University of Missouri Kansas City, Kansas City, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John M.","family":"Gatti","sequence":"additional","affiliation":[{"name":"Comprehensive Colorectal Center, Children\u2019s Mercy Hospital\/Kansas City, Kansas City, Missouri, USA."},{"name":"Department of Pediatric Urology, Children\u2019s Mercy Hospital\/University of Missouri Kansas City, Kansas City, Missouri, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel F.","family":"Koenig","sequence":"additional","affiliation":[{"name":"Comprehensive Colorectal Center, Children\u2019s Mercy Hospital\/Kansas City, 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