A multidisciplinary team at a private hospital in Hyderabad has reported India’s first successful endoscopic continence procedure for a patient with Spina Bifida-related neurogenic bowel dysfunction. The patient, a journalist living with paraplegia since birth, had undergone multiple corrective surgeries in childhood but continued to experience complete loss of bowel sensation and control for over three decades. Despite maintaining independence in all other daily activities, she remained dependent on her parents for daily enemas—an ongoing emotional and physical burden for the family.
After unsuccessful attempts at conventional surgical continence interventions (including the Malone Antegrade Continence Enema) at various centers across the country, specialists at the private hospital proposed a minimally invasive alternative. A pediatric gastroenterologist placed a gastrostomy (PEG)…
