Rectal Sclerotherapy in Children: An Author’s Experience with a Sclerosant
Background: Rectal prolapse in children is mainly managed by conservative treatment, especially in those aged <3 years; however, intervention is indicated in cases with persistent and recurrent prolapse that is resistant to conservative treatment. Objective: To determine the efficacy of sc...
Saved in:
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
|
| Series: | World Journal of Colorectal Surgery |
| Subjects: | |
| Online Access: | https://journals.lww.com/wjcs/fulltext/2023/12010/rectal_sclerotherapy_in_children__an_author_s.3.aspx |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Background:
Rectal prolapse in children is mainly managed by conservative treatment, especially in those aged <3 years; however, intervention is indicated in cases with persistent and recurrent prolapse that is resistant to conservative treatment.
Objective:
To determine the efficacy of sclerotherapy using sodium tetradecyl sulphate as a sclerosant in treating rectal prolapse in children.
Design:
A retrospective chart review.
Settings:
The study was conducted in a tertiary care pediatric center in Bengaluru, Karnataka.
Patients (Material) and Methods:
Children aged ≥1 year with persistent rectal prolapse were included in this study, which was conducted from January 2013 to December 2021. The median follow-up period was 1 year.
Main Outcome Measure:
Resolution of the rectal prolapse.
Sample Size:
Three hundred and eighty-seven patients.
Results:
The success rate was 93.5% (43/46) after sclerotherapy treatment. Recurrence was noted in 6.5% of the patients who required a second dose of sclerotherapy or surgery. The median follow-up period was 8 months. There were no remarkable complications or mortality.
Conclusion:
Rectal sclerotherapy injection is a safe, low-cost procedure with low recurrence rate in children.
Limitations:
Ours was a retrospective, single-center study, and no control group was utilized.
Conflict of Interest:
The authors have no conflict of interest to declare. |
|---|---|
| ISSN: | 1941-8213 |