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Encopresis in Hirschsprung's disease: a report on two cases
International Journal of Psychiatry in Medicine
|January 1, 1978
Summary
Behavior modification therapy, specifically a token economy, effectively treated severe encopresis in two patients post-Hirschsprung
Area of Science:
- Pediatric Surgery
- Behavioral Therapy
- Gastroenterology
Background:
- Hirschsprung's disease surgery can lead to persistent encopresis.
- Encopresis significantly impacts quality of life for affected children.
Observation:
- Two patients experienced severe encopresis following surgical correction for Hirschsprung's disease.
- Standard treatments had not resolved the encopresis.
Findings:
- A token economy behavior modification program was implemented for eight weeks.
- Both patients showed marked improvement in encopresis symptoms.
- Symptomatic improvement was sustained at four and eight months post-discharge.
Implications:
- Token economy therapy is a viable and effective treatment for post-surgical encopresis in Hirschsprung's disease.
- Behavioral interventions can offer long-term solutions for complex pediatric conditions.
- Further research can explore wider application of this therapeutic approach.