Department of Pediatric Surgery, UC Davis Children's Hospital, Sacramento, California, United States.
Department of Pediatric Surgery, Shriners Hospitals for Children Northern California, Sacramento, California, United States.
Eur J Pediatr Surg. 2020 Oct;30(5):401-405. doi: 10.1055/s-0040-1716725. Epub 2020 Sep 13.
The surgical management of children with rectal prolapse is wide ranging and without consensus within the pediatric surgical community. While the majority of rectal prolapse in infants and children resolves spontaneously or with the medical management of constipation, a small but significant subset of patients may require intervention for persistent symptoms. In this review, we discuss the etiology and pathophysiology of rectal prolapse in both infants and children, options for medical management, described interventions and surgical options and their outcomes, and future avenues for research and investigation.
儿童直肠脱垂的手术治疗方法多种多样，在小儿外科学界尚无共识。虽然大多数婴儿和儿童的直肠脱垂会自发缓解或通过便秘的药物治疗缓解，但仍有一小部分患者可能需要持续症状的干预。在这篇综述中，我们讨论了婴儿和儿童直肠脱垂的病因和病理生理学、药物治疗选择、描述的干预措施和手术选择及其结果，以及未来的研究和调查方向。
