Abstract
A 84-year-old man with a history of spinal cord injury and paraplegia was admitted for bowel control. The patient has been suffering from severe constipation and fecal incontinence. His usual bowel care time lasted four hours. Percutaneous endoscopic cecostomy was performed for antegrade continence enema without the need for laparotomy and can be accomplished using a local anesthesia. After antegrade continence enema of 120 ml of 50 percent glycerin through the cecostomy, his bowel care time was decreased 4 hours to one hour, and his constipation was improved.
