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Surgically correctable fecal incontinence.

R A Petrino, E S Golladay, D L Mollitt

    Southern Medical Journal
    |February 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

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    Many children with fecal incontinence have correctable surgical issues. Prompt diagnosis and appropriate anorectal surgery can significantly improve continence in pediatric patients.

    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Anorectal Malformations

    Background:

    • Fecal incontinence in children often stems from surgically correctable anorectal problems.
    • Failure to recognize or improperly address these issues leads to persistent incontinence.

    Observation:

    • The study reviewed ten children with prior anorectal surgeries and two with anterior anus.
    • Seven patients had undergone poorly positioned pull-through procedures for imperforate anus.
    • Two children had overflow incontinence after Duhamel operations for Hirschsprung's disease.

    Findings:

    • Anal repositioning successfully treated four of seven imperforate anus cases.
    • Gracilis sling achieved continence in two of three remaining imperforate anus cases.
    • Division of an anorectal septum corrected overflow in two Duhamel procedure cases, and an anoplasty resolved it in a third.

    Related Experiment Videos

  • Posterior anoplasty successfully created continence in two children with anterior ectopic anus.

    • Implications:

    • Anorectal malformations and anatomical deviations are key causes of pediatric fecal incontinence.
    • Physical examination and defecography are crucial diagnostic tools.
    • Corrective surgical interventions can restore fecal continence in a majority of affected children.