15-Year experience in the treatment of rectal prolapse in children

Laituri, Carrie A.; Garey, Carissa L.; Fraser, Jason D.; Aguayo, Pablo; Ostlie, Daniel J.; Peter, Shawn D. St.; Snyder, Charles L.

doi:10.1016/j.jpedsurg.2010.01.012

Cited by 55 publications

(42 citation statements)

References 12 publications

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“…It has been reported that prosthetic materials are not necessary in all cases. 25 Shalaby et al, in their study, reported the mean duration of surgery as 40 minutes (30-55 minutes). 11 Rintala et al reported a median operation time of 80 minutes (62-90 minutes) for laparoscopic suture rectopexy and a median hospital time of 6 days (3-8 days).…”

Section: Resultsmentioning

confidence: 94%

Laparoscopic Rectopexy: is it Useful for Persistent Rectal Prolapse in Children?

Elhaes¹,

Razik²,

Abdelkader³

2014

WJOLS

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Rectal prolapse is a relatively common, usually self-limiting illness in children. Peak incidence is between 1 and 3 years. The intervention is required for the persistent rectal prolapse (PRP). Only scanty experience is available with laparoscopic rectopexy in children. There is available work using both mesh and suture laparoscopic rectopexy in literature. This work is unique in that it presents our clinical experience with both mesh and suture laparoscopic rectopexy in children.This is a prospective clinical study for the outcome of laparoscopic rectopexy (LRP) by both mesh and suture technique in children with persistent rectal prolapse.Materials and methods: fourteen cases of PRP were managed with

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Section: Resultsmentioning

confidence: 94%

Laparoscopic Rectopexy: is it Useful for Persistent Rectal Prolapse in Children?

Elhaes¹,

Razik²,

Abdelkader³

2014

WJOLS

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“…Rectal prolapse is an extrusion of the full thickness of the wall of the rectum beyond the anal verge. Although common in infancy and early childhood,9, 10 in adults it predominantly affects women with an increasing incidence with age 11. In younger adults, rectal prolapse has been reported among institutionalized individuals with mental retardation and/or severe mental illness 12, 13.…”

Section: Discussionmentioning

confidence: 99%

Bulimia nervosa presenting as rectal purging and rectal prolapse: Case report and literature review

Guerdjikova

O’Melia

Riffe

et al. 2011

Intl J Eating Disorders

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Rectal prolapse, but not rectal purging (excessive finger evacuation to induce defecation), has been formally associated with eating disorders in the medical literature. We describe a young woman with bulimia nervosa and irritable bowel syndrome who used rectal purging as a method of counteracting the effects of her binge eating and who underwent two corrective surgeries for rectal prolapse in a 15-month interval. Further research into the relationship between eating disorders, rectal purging, and gastrointestinal dysfunction is called for.

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“…La anatomía de la región anorectal en edad pediátrica condiciona una mayor susceptibilidad a presentar PR 3 . Esto se debe a que la mucosa rectal está adherida a la capa muscular de manera más laxa 4 , y el recto del niño es más vertical en comparación con el adulto 5,6 .…”

Section: Introductionunclassified

Prolapso rectal como presentación inhabitual de enfermedad celiaca. A propósito de 2 casos clínicos

Errázuriz

2017

Rev. chil. pediatr.

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Palabras clave:Prolapso rectal, enfermedad celiaca, diarrea crónica ResumenIntroducción: El prolapso rectal (PR) está relacionado a un aumento de presión intrabdominal, patología del piso pélvico o esfinter anal, siendo las causas más frecuentes la constipación, fibrosis quística, tos convulsiva y diarrea disentérica. La enfermedad celiaca no está considerada entre las patologías relacionadas a PR. Objetivo: Dar a conocer una asociación escasamente descrita entre PR y enfermedad celiaca. Casos Clínicos: Se presentan 2 preescolares en quienes el motivo de consulta fue el PR, cuyo estudio se enfocó como diarrea prolongada, debido al antecedente de deposiciones de consistencia pastosa. En los exámenes destacaron títulos de anticuerpos anti-transglutaminasa tisular (Ac anti-tTG) elevados, y biopsias duodenales con atrofia vellositaria y aumento de linfocitos intraepiteliales, compatible con enfermedad celiaca. Ambos tuvieron una excelente respuesta a la dieta libre de gluten, con rápida normalización de las deposiciones, sin nuevos episodios de PR, desarrollo pondoestatural normal y Ac anti-tTG negativos en los controles anuales a 5 años de seguimiento. Conclusiones: Aunque la asociación entre PR y enfermedad celiaca prácticamente no ha sido descrita, debe considerarse en pacientes que se presenten con PR. Keywords:Rectal prolapse, celiac disease, chronic diarrhea Abstract Introduction: Rectal prolapse (RP) is related to an increase of intra-abdominal pressure, pelvic floor disease or anal sphincter. The most common causes of RP are constipation, cystic fibrosis, whooping cough and dysenteric diarrhea. However, celiac disease is not considered among the pathologies related to RP. Objective: To present a scarcely described association between RP and celiac disease. Clinical Cases: We presented 2 preschoolers in whom the reason for consultation was RP, whose study was focused on as prolonged diarrhea, due to the antecedent of pasty consistency of stools. The tests showed elevated anti-tissue transglutaminase (anti-tTG) antibody titers, and duodenal biopsies with villous atrophy and increased intraepithelial lymphocytes, consistent with celiac disease. Both had an excellent response to the gluten-free diet, with rapid normalization of depositions, without presenting any episodes of RP after treatment. Both with normal staturo-ponderal development and anti-tTGnegative controls at the annual 5-year follow-up. Conclusions: Although the association between RP and celiac disease has not been described yet, it should be considered in diagnosis and treatment.

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15-Year experience in the treatment of rectal prolapse in children

Cited by 55 publications

References 12 publications

Laparoscopic Rectopexy: is it Useful for Persistent Rectal Prolapse in Children?

Laparoscopic Rectopexy: is it Useful for Persistent Rectal Prolapse in Children?

Bulimia nervosa presenting as rectal purging and rectal prolapse: Case report and literature review

Prolapso rectal como presentación inhabitual de enfermedad celiaca. A propósito de 2 casos clínicos

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