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[Anal prolapse in the child].

J Duhamel, P Pernin

    Annales De Gastroenterologie Et D'Hepatologie
    |December 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Rectal prolapse in children, including mucosal and total types, is discussed. While improved nutrition reduced mucosal prolapse in developed nations, malnutrition remains a key factor in underdeveloped countries, where it

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    Area of Science:

    • Pediatric Gastroenterology
    • Colorectal Surgery

    Context:

    • Contrasts pediatric mucosal prolapse (ages 2-5) with rare total rectal prolapse.
    • Highlights declining incidence of mucosal prolapse in industrialized nations due to improved nutrition.
    • Emphasizes the continued severity and differing etiologies of rectal prolapse in under-developed countries.

    Purpose:

    • To differentiate between mucosal and total rectal prolapse in children.
    • To discuss the causes, predisposing factors, and treatment of pediatric rectal prolapse.
    • To highlight the impact of nutrition, prematurity, and anatomical abnormalities.

    Summary:

    • Mucosal prolapse is treatable with sclerosis (quinine-urea), avoiding cerclage, and addressing factors like rectal fixation and sacral curvature.
    • Total prolapse, occurring in younger infants, may necessitate surgery due to irreducibility and has diverse causes including congenital abnormalities and innervation disorders.

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  • Predisposing factors for mucosal prolapse include prolonged straining, constipation/diarrhea, malnutrition, and prematurity.

    • Impact:

    • Provides insights into the management of pediatric rectal prolapse, differentiating between types and their respective treatments.
    • Underscores the role of socioeconomic factors, particularly nutrition, in the prevalence and severity of rectal prolapse.
    • Contributes to understanding the complex etiology of rectal prolapse, including anatomical, neurological, and congenital factors.