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Treatment of internal rectal prolapse in children: A cross sectional study
Salahedin Delshad1, Balal Delshad2, Parisa Mogheimi3
1General Surgeon and Pediatric Surgeon, Maryam Hospital, Karaj, Iran.
Insights
Internal rectal prolapse in children causes severe constipation. Simple diagnostic methods and treatments like sclerosing solution injections or mucosal excision can effectively resolve this condition, even in severe cases.
Area of Science:
- Pediatric Gastroenterology
- Colorectal Surgery
Background:
- Internal rectal prolapse is a cause of difficult-to-treat constipation in children.
- It results in obstructive constipation due to distal rectal mucosal folds.
Purpose of the Study:
- To present diagnostic and treatment methods for internal rectal prolapse in children.
- To highlight simple techniques for managing this condition.
Main Methods:
- Prospective cross-sectional study of 60 children (6 months to 15 years).
- Diagnosis based on specific symptoms and barium enema radiology.
- Treatment involved sclerosing solution injection or prolapse excision under rectal mucosa.
Main Results:
- Subcutaneous injection of sclerosing solution showed good response depending on disease severity.
- High-degree prolapse resolved after mucosal excision, alleviating years of suffering.
Conclusions:
- Early diagnosis using specific symptoms and radiology is crucial.
- Accurate diagnosis prevents misdiagnosis of conditions like Hirschsprung and unnecessary surgeries.
Objectives:
Internal rectal prolapse in children is one of the causes of annoying and drug-resistant constipation. The disease causes a type of obstructive constipation due to the appearance of mucosal folds in the distal rectum. If the diagnosis is made in time according to the methods proposed by the author, the treatment can also be done with simple techniques. In this article, the treatment methods for this well-known disease are presented.
Methods:
This is a prospective cross-sectional study, Sixty children (36 girls and 24 boys) between the ages of 6 months and 15 years who have specific symptoms of this disease and different degrees after definitive diagnosis of anesthesia with Delshad-mash have been treated with the sclerosing solution under the rectal mucosa or excision prolapse.
Results:
Depending on the severity of the disease, treatment with a subcutaneous injection of sclerosing solution responds well. The condition resolves after years of suffering from high degrees of prolapsed mucosal excision.
Conclusion:
Diagnosis of internal rectal prolapse can be made based on specific symptoms and barium enema radiology before the anesthesia test for children and determine the patient's treatment path and prevent additional operations such as colostomy-pulmonary with misdiagnosis of Hirschsprung.
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