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Surgical Management of Rectal Prolapse in Infants and Children
Payam Saadai1,2, A Francois Trappey3, Jacob L Langer4
1Department of Pediatric Surgery, UC Davis Children's Hospital, Sacramento, California, United States.
Insights
Pediatric rectal prolapse often resolves spontaneously, but some children require intervention. This review covers causes, medical treatments, and surgical options for persistent pediatric rectal prolapse.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Rectal prolapse in children, particularly infants, frequently resolves without intervention.
- A subset of pediatric patients experience persistent symptoms requiring medical or surgical management.
Purpose of the Study:
- To review the etiology, pathophysiology, and management of rectal prolapse in pediatric patients.
- To discuss current medical and surgical treatment options and their outcomes.
- To identify areas for future research in pediatric rectal prolapse.
Main Methods:
- Comprehensive literature review of pediatric rectal prolapse.
- Analysis of medical and surgical intervention strategies.
- Evaluation of treatment outcomes and efficacy.
Main Results:
- While most cases resolve spontaneously or with constipation management, surgical intervention is sometimes necessary.
- Various surgical techniques exist, but consensus on the optimal approach is lacking.
- Outcomes vary depending on the chosen intervention and patient factors.
Conclusions:
- Effective management of pediatric rectal prolapse requires a tailored approach.
- Further research is needed to establish standardized surgical protocols and improve patient outcomes.
Abstract:
The surgical management of children with rectal prolapse is wide ranging and without consensus within the pediatric surgical community. While the majority of rectal prolapse in infants and children resolves spontaneously or with the medical management of constipation, a small but significant subset of patients may require intervention for persistent symptoms. In this review, we discuss the etiology and pathophysiology of rectal prolapse in both infants and children, options for medical management, described interventions and surgical options and their outcomes, and future avenues for research and investigation.
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