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. 2023 Jun 19;10(6):1078. doi: 10.3390/children10061078

Figure 7.

Figure 7

Derotation maneuver (Deloyers procedure) performed in patients who fail the balloon expulsion test with a simultaneous antegrade continence enema procedure (ACE) in the right colon. ACE flushes help to mechanically empty the colon until the patient trains to pass the stool out (i.e., pass the BET). Modified from Jouvin, I.; Pocard, M.; Najah, H. Deloyers procedure. J Visc Surg. 2018, 155, 493–501 [124].