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Related Experiment Videos

Rectal prolapse in pediatrics.

C Siafakas1, T P Vottler, J M Andersen

  • 1Department of Pediatrics, UT Southwestern Medical Center at Dallas, Texas.

Clinical Pediatrics
|February 27, 1999
PubMed
Summary
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Pediatric rectal prolapse is a symptom of underlying conditions, often resolving spontaneously. Cystic fibrosis screening is crucial, and treatment focuses on the root cause, with surgery reserved for severe cases.

Area of Science:

  • Pediatric Gastroenterology
  • Colorectal Surgery

Background:

  • Rectal prolapse in children, particularly infants, is uncommon in industrialized nations.
  • It presents as mucosal or complete rectal prolapse, often self-resolving before medical evaluation.
  • Considered a symptom, not a disease, linked to increased intraabdominal pressure, diarrhea, malnutrition, and pelvic floor weakness.

Purpose of the Study:

  • To review the etiology, diagnosis, and management of pediatric rectal prolapse.
  • To highlight associated conditions, including cystic fibrosis and entities that may be overlooked.
  • To discuss conservative and surgical treatment options.

Main Methods:

  • Literature review of pediatric rectal prolapse.
  • Analysis of potential underlying causes and associated conditions.

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  • Evaluation of diagnostic considerations and treatment modalities.

    • Main Results:

    • Rectal prolapse is associated with cystic fibrosis, necessitating sweat testing.
    • Occult rectal prolapse, solitary rectal ulcer syndrome, and inflammatory cloacogenic polyps require careful diagnosis.
    • Conservative management targeting underlying conditions is primary; sclerosing agent injection is effective.

    Conclusions:

    • Pediatric rectal prolapse management requires addressing underlying etiologies.
    • Early diagnosis and appropriate intervention improve outcomes.
    • While often self-limiting, persistent cases may require specific treatments, with prognosis varying by age at presentation.