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ACE – Antegrade Continence Enema

23 April,2021
 Many people who have spina bifida will suffer with problems of constipation and faecal incontinence. The Antegrade Continence Enema or ACE is a way of managing bowel emptying at a convenient time each day and should reduce both constipation and soiling episodes. 
The procedure involves sitting on a commode or toilet whilst a washout is given through a small opening or stoma on the abdomen. Because creating an ACE stoma requires an operation, the doctor will usually recommend it only when all other efforts to manage the bowel have been tried and have failed.