The Malone antegrade continence enema for treating adult constipation and fecal incontinence: a systematic review of the literature.

The most common indications were neurological disorders (25.8%), prior surgeries (16.8%), idiopathic constipation (14.2%), and traumatic spinal injuries (11.6%).

Techniques included terminal ileal loop (37.9%), percutaneous endoscopic cecostomy (26.0%), and appendicostomy (24.8%).

Minor stoma-related complications were most frequent (39.1%), followed by fecal leakage (16.2%) and stoma stenosis (11.3%).

Satisfactory outcomes were reported by 60%-83% of patients, with improvements in symptoms and quality of life.