TITLE:
Rectal Prolapse of the Child at the Center University Hospital of Brazzaville
AUTHORS:
Mieret Jean Claude, Moyen Engoba, Koumbourou Judicaël, Antsiemi Yves, Mboutol Mandavo Carine, Yaokreh Jean Baptiste, Moyen Georges
KEYWORDS:
Rectal Prolapse, Frequency, Children
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.7 No.4,
December
28,
2017
ABSTRACT: Summary: The aim of this work was to determine the frequency of rectal prolapse
and to describe the therapeutic aspects. Material and Methods: A
descriptive study with a retrospective
collection was carried out between January 2013 and May 2016 in 29 months in
the pediatric surgery department at the Center University Hospital of
Brazzaville. Children between the ages of 1 and 15 years of age, treated for
rectal prolapse and whose records were exploitable were included. The variables
studied were: age, gender, parental socio-economic status, consultation
time, preference factors, pre-admission treatment, treatment initiated and
progression. Results: In 29 months, 22 cases of rectal prolapse were
collected, i.e. a hospital frequency of 0.96%. The mean age was 4.5 years extremes (1 and 11 years). The average time of
consultation was 5 days extremes (1
and 21 days). Diarrhea 5 cases (23%), constipation diarrhea 3 cases (14%), constipation 10 cases (45%), bronchopneumopathy 4 cases (18%). The treatment was surgical according to the Thiersch technique
in all cases. The evolution was favorable. Conclusion: Rectal
prolapse, a benign pathology, is relatively uncommon. Constipation remains the
main factor favoring the need to take care of
upstream. Treatment by the Thiersch method remains the first choice in children.