Tube cecostomy versus appendicostomy for antegrade enemas in the management of fecal incontinence in children: A systematic review

Systematic review of 2086 pediatric patients comparing cecostomy versus appendicostomy for fecal incontinence management. Cecostomy showed significantly lower complication rates (16.6% vs 42.3%) and fewer revision surgeries, while both procedures achieved similar continence outcomes and quality of life improvements.