A comparison of Malone appendicostomy and cecostomy for antegrade access as adjuncts to a bowel management program for patients with functional constipation or fecal incontinence

Retrospective comparison of 204 pediatric patients receiving appendicostomy versus cecostomy for antegrade enema access shows appendicostomy has lower complication rates, with fewer skin-level leaks and wound infections. Cecostomy patients experienced higher rates of major complications including intraperitoneal spillage and tube dislodgement.