Are there any long-term problems with antegrade colonic enema (ACE) surgery?

There are some people who find that ACE does not work for them. They may find that there is soiling between irrigations or that the irrigations simply do not work. One other problem with ACE surgery is that the opening at the skin can tend to close up with time, particularly if it is not used regularly.

Last reviewed by a Cleveland Clinic medical professional on 12/16/2017.


  • Malone PS, Ransley PG, Kiely EM. Preliminary report: the antegrade continence enema. Lancet. 1990;336:1217-1218.
  • Bruce RG, el-Galley RE, Wells J, et al. Antegrade continence enema for the treatment of fecal incontinence in adults: use of gastric tube for catheterizable access to the descending colon. J Urol 1999;161(6):1813–6.

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