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rectal prolapse in children

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https://www.readbyqxmd.com/read/27680599/application-of-anchoring-stitch-prevents-rectal-prolapse-in-laparoscopic-assisted-anorectal-pullthrough
#1
Jessie L Leung, Patrick Hy Chung, Paul Kh Tam, Kenneth Ky Wong
BACKGROUND: Rectal prolapse has been reported after laparoscopic assisted anorectal pullthrough in children with anorectal malformation. We report our clinical outcome and study the application of an anchoring stitch to tack the rectum to the presacral fascia and the occurrence of rectal prolapse. MATERIAL AND METHODS: A retrospective review of all children who had undergone laparoscopic assisted anorectal pullthrough for anorectal malformation from 2000 to 2015 was performed...
September 17, 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27554917/a-standardized-approach-for-the-assessment-and-treatment-of-internationally-adopted-children-with-a-previously-repaired-anorectal-malformation-arm
#2
Victoria A Lane, Clare Skerritt, Richard J Wood, Carlos Reck, Geri D Hewitt, Kate A McCracken, Venkata R Jayanthi, Daniel DaJusta, Christina Ching, Katherine J Deans, Peter C Minneci, Marc A Levitt
INTRODUCTION: A significant number of internationally adopted children have congenital birth defects. As a specialist center for colorectal diagnoses, we evaluate such children with an anorectal malformation (ARM) and have found that a significant number need a reoperation. Knowledge of the common complications following ARM surgery has led us to develop treatment algorithms for patients with unknown past medical and surgical history, a situation typically encountered in the adopted population...
November 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/27444139/giant-rectal-polyp-prolapse-in-an-adult-patient-with-the-peutz-jeghers-syndrome
#3
Ana Delfina Cano-Contreras, Arturo Meixueiro-Daza, Peter Grube-Pagola, Jose Maria Remes-Troche
Peutz-Jeghers Syndrome (PJS) is an autosomal dominant intestinal polyposis syndrome characterised by the presence of hamartomatous polyps and mucocutaneous pigmentation. Prolapse of the polyps through the anus is an infrequent manifestation in children with PJS, and this complication is extremely rare in adult patients. We report the case of a 30-year-old man recently diagnosed with PJS who was seen at the emergency department because of the abrupt onset of severe anal pain with a foreign body sensation in the anal canal and rectal bleeding...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27357400/critical-analysis-of-fecal-incontinence-scores
#4
Andrea Bischoff, J Bealer, A Peña
INTRODUCTION: Objectively evaluating the lack of bowel control (fecal incontinence) continues to be a challenge. Many have attempted to measure the severity of fecal incontinence and to evaluate its impact on the quality of life by developing standardized scoring systems. Some of these systems have been validated but none have achieved widespread use and all have limitations in evaluating pediatric patients. METHODS: A review of the literature was performed looking for validated scoring systems of fecal incontinence that are currently used for either adult or pediatric patients...
August 2016: Pediatric Surgery International
https://www.readbyqxmd.com/read/27284118/tibia-stress-fracture-secondary-to-obsessive-compulsive-disorder
#5
Gulen Guler, Meryem Ozlem Kutuk, Veli Yildirim, Gonca Gül Celik, Fevziye Toros, Abtullah Milcan
Obsessive compulsive disorder (OCD) is a chronic psychiatric disorder characterized by obsessions and compulsions. Early-onset OCD is one of the most common mental illnesses of children and adolescents, with a prevalence of 1% to 3%. It is related to worse lifespan symptoms and prognosis. Therefore, the treatment of OCD in children and adolescent has gained importance. If it is not treated successfully, the compulsive behaviors may cause extreme stress for children and their parents. Although minor complications of OCD are commonly observed, major complications are considerably rare due to the nature of compulsive behaviors...
April 2016: International Journal of Psychiatry in Medicine
https://www.readbyqxmd.com/read/27265581/-rectal-prolapse-revealing-a-tumor-the-role-of-abdominal-ultrasound
#6
E Bequet, L Stiennon, A Lhomme, C Piette, C Hoyoux, L Rausin, O Guidi
Rectal prolapse is rare in children and usually benign. However, there are various diseases that can be associated with it, such as cystic fibrosis or other causes of increased abdominal pressure. Here, we review the various underlying conditions that pediatricians or pediatric gastroenterologists should consider in the case of rectal prolapse. We report on three cases of children with a rectal prolapse and intra-abdominal tumors. Current recommendations and practice do not include a systematic check via abdominal imaging in cases of rectal prolapse...
July 2016: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
https://www.readbyqxmd.com/read/27144002/colonic-polyposis-in-a-15-year-old-boy-challenges-and-lessons-from-a-rural-resource-poor-area
#7
Nasser Kakembo, Phyllis Kisa, Tamara Fitzgerald, Doruk Ozgediz, John Sekabira
INTRODUCTION: Colorectal polyps usually present with rectal bleeding and are associated with increased risk of colorectal carcinoma. Evaluation and management in resource-poor areas present unique challenges. PRESENTATION OF CASE: This 15 year-old boy presented with 9 years of painless rectal bleeding and 2 years of a prolapsing rectal mass after passing stool. He had 3 nephews with similar symptoms. On clinical assessment and initial exam under anesthesia, an impression of a polyposis syndrome was made and a biopsy taken from the mass that revealed inflammatory polyps with no dysplasia...
May 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27086003/rectal-prolapse-in-children-significance-and-management
#8
REVIEW
Kristen Cares, Mohammad El-Baba
Rectal prolapse is a herniation of the rectum through the anus. It is rare in children. When it does occur, it is usually prior to 4 years of age and due to anatomical variants. A few conditions predispose children to rectal prolapse, the most common being constipation. Cystic fibrosis used to be commonly associated with rectal prolapse, but with the advent of cystic fibrosis newborn screening, this association is no longer as frequently seen. Many recent case reports, detailed in this chapter, describe conditions previously unknown to be associated with rectal prolapse...
May 2016: Current Gastroenterology Reports
https://www.readbyqxmd.com/read/27083462/transanal-endorectal-pull-through-for-hirschsprung-s-disease-experience-with-50-patients
#9
Ü Adıgüzel, K Ağengin, I Kırıştıoğlu, H Doğruyol
INTRODUCTION: Transanal endorectal pull-through (TEPT) is the latest advancement in the treatment of Hirschsprung's disease (HD). The aim of this study was to evaluate the safety and efficacy of TEPT as a definitive treatment for patients with HD. PATIENTS AND METHODS: A retrospective study of 50 patients who underwent TEPT at Uludağ University, Bursa, Turkey, between June 2001 and April 2012 was conducted. These patients were evaluated with regard to their age, sex, preoperative findings, and length of the aganglionic segment, intraoperative and postoperative complications, and results of the follow-up...
March 29, 2016: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/26618707/laparoscopic-suture-rectopexy-for-persistent-rectal-prolapse-in-children-is-it-a-safe-and-effective-first-line-intervention
#10
Karim Awad, Mohamed El Debeiky, Amr AbouZeid, Ayman Albaghdady, Tarek Hassan, Sameh Abdelhay
BACKGROUND: Several techniques have been described for the surgical correction of rectal prolapse without any clear advantage for one technique over the other. We evaluated the use of laparoscopic suture rectopexy (LSRP) as a modality of treatment for rectal prolapse in children. MATERIALS AND METHODS: Prospective data were collected for all children who presented to our center between 2011 and 2014 and required surgery for rectal prolapse. All children underwent LSRP with fixation of the mobilized rectum to the sacral promontory with multiple nonabsorbable sutures...
April 2016: Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
https://www.readbyqxmd.com/read/26607187/successful-treatment-of-recurrent-rectal-prolapse-using-three-thiersch-sutures-in-children
#11
Kashif Chauhan, Richard Wei Chern Gan, Shailinder Singh
Many techniques are described to manage recurrent rectal prolapse in children, including repeated Thiersch stitch, phenol injections, Delorme and Altemeier procedures, and rectopexy. We describe a case of successful treatment of rectal prolapse by placing three Thiersch sutures circumferentially along the anal canal--a simple and novel modification of a well-known procedure. An 8-year-old boy with full-thickness rectal prolapse was treated with laxatives to no avail. He was subsequently treated with phenol-in-almond-oil injection and insertion of a 1/0PDS Thiersch suture...
2015: BMJ Case Reports
https://www.readbyqxmd.com/read/26557942/rectal-prolapse-in-children-a-study-of-71-cases
#12
Mohammad-Hossein Sarmast, Shahnam Askarpour, Mehran Peyvasteh, Hazhir Javaherizadeh, Meisam Mooghehi-Nezhad
INTRODUCTION: Prolapse of the rectum is the herniation of the rectum through the anus, which may be categorised as mucosal or complete. AIM: To evaluate the clinical manifestation, treatment, and surgical complications of children with rectal prolapse over a 6-year period. MATERIAL AND METHODS: This study was carried out on children aged < 14 years who were admitted or referred for rectal prolapse that failed to respond after medical treatment in Imam Khomeini and Abouzar Children's Hospital...
2015: Przegla̜d Gastroenterologiczny
https://www.readbyqxmd.com/read/26182729/childhood-bladder-stones-an-endemic-disease-of-developing-countries
#13
Bhamar Lal, Jai Pal Paryani, Shafique-ur-Rehman Memon
BACKGROUND: Bladder calculi are one of the commonest health problems in young children especially in rural and underprivileged areas. METHODS: All children of bladder stones operated at District Headquarter Hospital Mithi from July 2009 to June 2012 were included in this cross-sectional study. Data was collected regarding age, sex, address (rural or urban), body weight, duration of breast feeding, weaning, detailed dietary history regarding milk type, volume, amount of water intake, recurrent diarrhoea, urinary tract infection (UTI), family history, and socioeconomic history...
January 2015: Journal of Ayub Medical College, Abbottabad: JAMC
https://www.readbyqxmd.com/read/26163086/rectal-prolapse-in-older-children-associated-with-behavioral-and-psychiatric-disorders
#14
Shelley Reynolds Hill, Peter F Ehrlich, Barbara Felt, Dawn Dore-Stites, Kim Erickson, Daniel H Teitelbaum
PURPOSE: Rectal prolapse (RP) beyond infancy is challenging, and despite surgical correction, recurrences are not uncommon, suggesting that underlying contributing processes may have a role. This study highlights a previously poorly recognized relationship between RP in older children and behavioral/psychiatric disorders (BPD). We describe the incidence of recurrence and use of behavioral, psychological and physical therapeutic tactics in a multidisciplinary approach to pediatric RP. METHODS: A retrospective 20-year review of RP in children >3 years of age was adopted...
August 2015: Pediatric Surgery International
https://www.readbyqxmd.com/read/25638636/laparoscopic-modified-orr-loygue-mesh-rectopexy-for-rectal-prolapse-in-children
#15
Cindy Gomes-Ferreira, Anne Schneider, Paul Philippe, Isabelle Lacreuse, Francois Becmeur
AIM: We present an operating technique inspired from the Orr-Loygue mesh rectopexy adapted for laparoscopy, and detail the technical steps that differ from laparoscopic posterior suture rectopexy more commonly described in the paediatric literature. METHOD: We present a retrospective study of all children who underwent a modified Orr-Loygue procedure for recurrent complete rectal prolapse from 1999 to 2012 after failure of conservative treatment. Pathological conditions, technical details of the procedure (excision of the Douglas pouch, use of a prerectal non-absorbable mesh to suspend the rectum to the presacral fascia and promontory avoiding any tension on the rectal wall) and postoperative results were reviewed...
February 2015: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/25475820/single-incision-laparoscopic-assisted-anorectoplasty-using-conventional-instruments-for-children-with-anorectal-malformations-and-rectourethral-or-rectovesical-fistula
#16
Mei Diao, Long Li, Mao Ye, Wei Cheng
BACKGROUND: This study aims to evaluate the safety and efficacy of single-incision laparoscopic-assisted anorectoplasty (SILAARP) for children with anorectal malformations (ARM) and rectourethral or rectovesical fistula. METHODS: Children with ARMs and rectourethral or rectovesical fistula who underwent SILAARP between May 2011 and December 2012 were reviewed. The operative time, early postoperative and follow-up results were analyzed. RESULTS: Thirty-one patients (ARM with rectovesical vs...
November 2014: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/25411941/anal-fissure-in-children-a-10-year-clinical-experience-with-nifedipine-gel-with-lidocaine
#17
Baruch Klin, Yigal Efrati, Matitiahu Berkovitch, Ibrahim Abu-Kishk
BACKGROUND: We aimed to evaluate efficacy and safety of the use of nifedipine gel with lidocaine in the treatment of acute anal fissures in children by reviewing the cases of 106 children with acute anal fissure treated conservatively by nifedipine gel with lidocaine between the years 2003-2012. METHODS: The patients included in this study were 48 males and 58 females. Their clinical presentation consisted of constipation, rectal bleeding, anal pain, perianal itching, abdominal pain, irritability and rectal prolapse...
June 2016: Minerva Pediatrica
https://www.readbyqxmd.com/read/25266954/the-value-of-fluoroscopic-defecography-in-the-diagnostic-and-therapeutic-management-of-defecation-disorders-in-children
#18
Suzanne M Mugie, D Gregory Bates, Jaya B Punati, Marc A Benninga, Carlo Di Lorenzo, Hayat M Mousa
BACKGROUND: Defecography is a study to assess anorectal function during evacuation. OBJECTIVE: To investigate the value of fluoroscopic defecography in directing diagnostic and therapeutic management in children with defecation disorders. MATERIALS AND METHODS: We reviewed all fluoroscopic defecography studies performed (2003-2009) in children with defecation problems and normal anorectal motility studies. Results were classified into three groups: (1) normal pelvic floor function; (2) pelvic floor dyssynergia, including incomplete relaxation of pelvic musculature, inconsistent change in anorectal angle and incomplete voluntary evacuation; (3) structural abnormality, including excessive pelvic floor descent with an intra-rectal intussusception, rectocele or rectal prolapse...
February 2015: Pediatric Radiology
https://www.readbyqxmd.com/read/25242503/risk-factors-and-clinical-characteristics-of-rectal-prolapse-in-young-patients
#19
C Sun, T Hull, G Ozuner
BACKGROUND: Rectal prolapse is a relatively common condition in children and elderly patients but uncommon in young adults less than 30 years old. The aim of this study is to identify risk factors and characteristics of rectal prolapse in this group of young patients and determine surgical outcome. METHODS: Adult patients younger than 30 years old with rectal prolapse treated surgically between September 1994 and September 2012 were identified from an IRB-approved database...
December 2014: Journal of Visceral Surgery
https://www.readbyqxmd.com/read/25162364/rectal-prolapse-and-cystic-fibrosis
#20
Khalil I El-Chammas, Nisreen Rumman, Vi Lier Goh, Diana Quintero, Praveen S Goday
Screening for cystic fibrosis (CF) is suggested in patients with rectal prolapse (RP). Little is known about the association between CF and RP in the era of newborn screening for CF. Our retrospective review showed that 3.6% of patients with RP had CF, and 3.5% of patients with CF had RP. No demographic or clinical factors appear to predict the likelihood of RP in patients with CF. Sweat chloride testing for patients with RP has a low yield in the era of newborn screening but may still need to be considered in children with RP to avoid missing the rare child with CF...
January 2015: Journal of Pediatric Gastroenterology and Nutrition
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