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- W2624014729 abstract "Pediatric rectal prolapse (RP) is rarely a diagnostic problem and resolves often spontaneously. The authors studied whether the assessment of recurrent RP (RP), postoperative relapsed RP (RRP) or anorectal discomfort without RP (ARD) benefits from dynamic defecography (DD) and describe DD findings in relation with outcome. Fifteen patients (7 males), median age of 10 (range 3.7–15)years, underwent 19 DD with a synchronic small bowel contrast study. Indications for DD were RP (n=11), ARD (n=3) and RRP (n=1). Three patients had solitary rectal ulcer and one juvenile rectal polyps (n=1). Three patients underwent a total of four postoperative DD because of suspected relapse. In 11 patients with a clinically diagnosed prolapse, DD displayed a simple prolapse (n=3), prolapse with enterocele (n=1), prolapse with small bowel interposition (n=1), rectal intussusception with anterior rectocele (n=1) and rectal intussusception (n=1). There was no pathology (n=4) (37%). In four patients with ARD, DD displayed rectal prolapse originating from sigmoid intussusception (n=1), enterocele (n=l), anterior rectocele (n=l), and no pathology in one. Median follow-up was 8.1 (range 3.0–44)months. Ten patients underwent surgery. Three patients with RP underwent simple laparoscopic rectopexy, five with RP or ARD with enterocele or anterior rectocele had rectopexy with anterior peritoneoplasty and two (RP n=1, RRP n=1) with sigmoid intussusception had sigmoid resection with rectopexy. Two symptomatic patients (RP, negative DD) are scheduled for rectopexy. Three patients PPRP (n=2)ARD (n=1) had spontaneous cure. Postoperative DD confirmed relapsed RP in one patient. The authors conclude that dynamic defecography can disclose significant pathology (enterocele, rectocele or sigmoid intussusception) in patients with rectal prolapse and thereby guide surgical treatment. It should be included in the pre-treatment assessment for rectal prolapse." @default.
- W2624014729 created "2017-06-15" @default.
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- W2624014729 date "2013-03-01" @default.
- W2624014729 modified "2023-10-17" @default.
- W2624014729 title "Alimentary Tract" @default.
- W2624014729 doi "https://doi.org/10.1016/j.jpedsurg.2013.01.015" @default.
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