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[Rectal prolapse in children. Review of 260 cases]
1Clinique Chirurgicale Infantile et Orthopédique, CHU Ibn Rochd, Casablanca, Maroc.
Insights
Digestive issues like diarrhea and parasitic infections are key causes of rectal prolapse in Moroccan children. Sclerosing injections offer a highly effective, non-surgical treatment, curing 98% of cases.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Context:
- Rectal prolapse in children is often linked to constipation and straining.
- In Morocco, digestive parasitosis and hypotrophic conditions following diarrhea are prevalent contributing factors.
- Understanding these etiologies is crucial for effective management.
Purpose:
- To evaluate the etiological factors of rectal prolapse in Moroccan children.
- To assess the efficacy of medical treatment versus sclerosing injections.
- To adapt management strategies based on identified causes and treatment outcomes.
Summary:
- A prospective study of 260 children (1979-1986) identified diarrhea associated with digestive parasitosis (62%) as the primary cause.
- Deficient nutritional status was observed in 42% of cases.
- Medical treatment succeeded in only 28% of patients, while sclerosing injections achieved a 98% cure rate without surgery.
Impact:
- Highlights the significant role of parasitic infections and diarrhea in pediatric rectal prolapse in the region.
- Demonstrates the superior efficacy of sclerosing injections over medical management for rectal prolapse.
- Supports the adoption of sclerosing injections as a primary, non-surgical treatment option.
Abstract:
Rectal prolapse is mostly seen in constipated children after prolonged straining at stool. In Morocco, it will occur in children suffering from digestive parasitosis or hypotrophic children following episodes of acute diarrhea. In order to evaluate the respective role of these factors and consequently adapt the management of this condition, a prospective study of 260 cases was conducted between 1979 and 1986 bearing on etiologic factors on the one hand and with a view to assessing the efficacy of medical treatment and of sclerosing injections on the other hand. As regards etiology, diarrhea in connection with digestive parasitosis appears as a predominating factor (62%). A deficient condition was also noted in 67 out of 160 children (42%). Medical treatment was successful only in 28% of cases, whereas 98% of our patients were cured by sclerosing injections without need for surgical treatment.