Place de la sclérothérapie dans le traitement du prolapsus rectal récidivant de l’enfant : à propos de 15 cas

Ghorbel, S.; Chouikh, Taieb; Yengui, H.; Charieg, A.; Nouira, Faouzi; Chaouachi, B.

doi:10.1016/j.jpp.2012.01.005

Cited by 1 publication

(5 citation statements)

References 10 publications

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“…Rectal prolapse is a benign pathology, occurring most frequently in children before the fourth year of life [4]. In our study, the mean age was 25.4 months with extremes of 4 months and 54 months, well below the data found by Ghorbel et al and Automne et al 2,5 In the present study, 29 cases of rectal prolapse were recorded over a 48-month period. This represents an average admission of 7.25 cases per year.…”

Section: Discussioncontrasting

confidence: 48%

“…In contrast, the literature points to the predominance of mucosal forms, as highlighted in Ghorbel's work. 2 The average admission time was 64.8 days, with extremes of 1h and 330 days. This long delay may be due to the fact that parents in the present study consider rectal prolapse as hemorrhoidal bulges.…”

Section: Discussionmentioning

confidence: 99%

“…1,4,5 The mucosal form is the most common, accounting for 95-98% of cases. 2 Its etiologies can be grouped into five main groups: increased abdominal pressure, diarrheal diseases, parasitic infections, rectocolonic neoplasia and malnutrition, which reduces ischio-rectal adipose tissue.…”

Section: Discussionmentioning

confidence: 99%

“…Constipation and parasitic diarrhea are the main contributing factors in children. 1,2,4,5 However, there are anatomical predisposing factors that can lead to prolapse, such as lax attachment of the mucosa to the underlying layers of the rectal wall, immaturity of receptors in the wall of the rectal ampulla and anal canal, verticality of the sacrum, and absence of an anal cape. 1,[4][5][6] In older children, the spine is doubly curved and the rectum is not vertical in line with the anal canal, but rather horizontal, forming a marked angle with it.…”

Section: Discussionmentioning

confidence: 99%

“…1 It is confined to the rectal mucosa in 95-98% of cases, but in certain advanced forms may involve the entire rectal wall. 2 It is a common condition in children. 3 Diagnosis is clinical and straightforward, relying mainly on history-taking and physical examination.…”

Section: Introductionmentioning

confidence: 99%

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The combination of sclerotherapy and anal cerclage: treatment of choice for rectal prolapse in children?

CS,

CAM,

MVLSB

et al. 2023

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Background: Mucosal prolapse of the rectum is a common condition in children, easily diagnosed. Its management is varied, with varying results. The authors propose to evaluate the management of this pathology in their department and the results obtained. Method: cross-sectional study from January 2018 to December 2021 in the pediatric surgery department of CNHU-HKM. This was an exhaustive recruitment of children with prolapse during the study period. Results: 29 patients were enrolled. Mean age was 25.4 months. The predominance was female 18/11. Prolapse was total in 100% of cases, with circumferential externalization averaging 4cm in length. Average admission time was 64.8 days. Nineteen children recurred under medical treatment, representing a 65.5% failure rate. Among the children, 19 had chronic constipation and 6 had diarrhea. The 19 children who failed medical treatment underwent sclerotherapy. Two recurred. Anal cerclage was performed in 12 children, with no recurrence observed. Hospital stay was 24h. Conclusion: Despite the existence of standardized protocols, the management of rectal prolapse must be adapted to the context and the patient. The study shows the usefulness of sclerotherapy accompanied by cerclage for complete healing in cases of associated anal hollowness.

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Section: Discussioncontrasting

confidence: 48%

Section: Discussionmentioning

confidence: 99%