Abstract
Pediatric anorectal disorders include a variety of relatively common functional and anatomical defects. Around 10% of children are brought to medical attention because of an anorectal disorder. Besides constipation, other typical complaints include blood in the stool, pain, and specific local anal findings. It is essential that pediatric surgeons are familiar with the pathophysiology and management of these diverse and usually relatively benign conditions, as these problems are not uncommon and are regularly seen in emergency room and outpatient clinics.
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References
Bongers ME, van Wijk MP, Reitsma JB, Benninga MA. Long-term prognosis for childhood constipation: clinical outcomes in adulthood. Pediatrics. 2010;126:e156–62.
Chang JW, Wu TC, Wang KS, Huang IF, Huang B, Yu IT. Colon mucosal pathology in infants under three months of age with diarrhea disorders. J Pediatr Gastroenterol Nutr. 2002;35:387–90.
Clarke MC, Catto-Smith AG, King SK, Dinning PG, Cook IJ, Chase JW, Gibb SM, Robertson VJ, Simpson D, Hutson JM, Southwell BR. Transabdominal electrical stimulation increases colonic propagating pressure waves in paediatric slow transit constipation. J Pediatr Surg. 2012;47:2279–84.
Clayden G, Agnarsson U. Constipation in childhood. Oxford: Oxford Medical Publications; 1991.
Dehghani SM, Malekpour A, Haghighat M. Solitary rectal ulcer syndrome in Felt B, Wise CG, Olson A et al: Guideline for the management of pediatric idiopathic constipation and soiling. Multidisciplinary team from the University of Michigan Medical Center in Ann Arbor. Arch Pediatr Adolesc Med. 1999;153:380–5.
de la Torre L, Carrasco D, Mora MA, et al. Vascular malformations of the colon in children. J Pediatr Surg. 2002;37:1754–7.
Fishman SJ, Shamberger RC, Fox VL, et al. Endorectal pull-through abates gastrointestinal hemorrhage from colorectal venous malformations. J Pediatr Surg. 2000;35:982–4.
Flemming G. Chronic functional constipation in infants and children. Handb Exp Pharmacol. 2019; https://doi.org/10.1007/164_2019_223.
Gladman MA, Scott SM, Lunniss PJ, Williams NS. Systematic review of surgical options for idiopathic megarectum and megacolon. Ann Surg. 2005;241:562–74.
Heaton ND, Davenport M, Howard ER. Incidence of haemorrhoids and anorectal varices in children with portal hypertension. Br J Surg. 1993;80:616–8.
Hutson JM, Chase JW, Clarke MC, King SK, Sutcliffe J, Gibb S, Catto-Smith AG, Robertson VJ, Southwell BR. Slow-transit constipation in children: our experience. Pediatr Surg Int. 2009;25:403–6.
Hyman PE, Milla PJ, Benninga MA, Davidson GP, Fleisher DF, Taminiau J. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2006;130:1519–26.
Ismail M, Gabr K, Shalaby R. Laparoscopic management of persistent complete rectal prolapse in children. J Pediatr Surg. 2010;45:533–9.
Jamshidi R. Anorectal complaints: hemorrhoids, fissures, abscesses, fistulae. Clin Colon Rectal Surg. 2018;31(2):117–20.
Kellogg N, The Committee on Child Abuse and Neglect. The evaluation of sexual abuse in children. Pediatrics. 2005;116:506–12.
Koga H, Okazaki T, Kato Y, Lane GJ, Yamataka A. Anal canal duplication: experience at a single institution and literature review. Pediatr Surg Int. 2010;26:985–8.
Koivusalo A, Pakarinen M, Rintala R. Laparoscopic suture rectopexy in the treatment of persisting rectal prolapse in children: a preliminary report. Surg Endosc. 2006;20:960–3.
Koivusalo AI, Pakarinen MP, Rintala RI, Seuri R. Dynamic defecography in the diagnosis of paediatric rectal prolapse and related disorders. Pediatr Surg Int. 2012;28:815–20.
Kyrklund K, Koivusalo A, Rintala RJ, Pakarinen MP. Evaluation of bowel function and fecal continence in 594 Finnish individuals aged 4 to 26 years. Dis Colon Rectum. 2012;55:671–6.
Laituri CA, Garey CL, Fraser JD, Aguayo P, Ostlie DJ, St Peter SD, Snyder CL. 15-Year experience in the treatment of rectal prolapse in children. J Pediatr Surg. 2010;45:1607–9.
Lee-Robichaud H, Thomas K, Morgan J, Nelson RL. Lactulose versus polyethylene glycol for chronic constipation. Cochrane Database Syst Rev. 2010;(7):CD007570.
Levine MD. The school child with encopresis. Pediatr Rev. 1981;2:285.
Levitt MA, Martin CA, Falcone RA Jr, Peña A. Transanal rectosigmoid resection for severe intractable idiopathic constipation. J Pediatr Surg. 2009;44:1285–90.
Macdonald A, Wilson-Storey D, Munro F. Treatment of perianal abscess and fistula-in-ano in children. Br J Surg. 2003;90:220–1.
Morrison ZD, LaPlant M, Hess D, et al. A systematic review of management options in pediatric rectal prolapse. J Pediatr Surg. 2019;54(9):1782–7.
Murthi GV, Okoye BO, Spicer RD, et al. Perianal abscess in childhood. Pediatr Surg Int. 2002;18:689–91.
Nelson RL, Chattopadhyay A, Brooks W, Platt I, Paavana T, Earl S. Operative procedures for fissure in ano. Cochrane database Syst Rev. 2011;9(11).
Nelson RL, Thomas K, Morgan J, Jones A. Non surgical therapy for anal fissure. Cochrane Database Syst Rev. 2012;15(2):CD003431.
Oh JT, Han A, Han SJ, et al. Fistula-in-ano in infants: is nonoperative management effective? J Pediatr Surg. 2001;36:1367–9.
Pakarinen MP, Koivusalo A, Rintala RJ. Functional fecal soiling without constipation, organic cause or neuropsychiatric disorders? J Pediatr Gastroenterol Nutr. 2006;43:206–8.
Peña A, Grasshoff S, Levitt M. Reoperations in anorectal malformations. J Pediatr Surg. 2007;42:318–25.
Pierce AM. Anal fissures and anal scars in anal abuse – are they significant? Pediatr Surg Int. 2004;20:334–8.
Pijpers MA, Bongers ME, Benninga MA, Berger MY. Functional constipation in children: a systematic review on prognosis and predictive factors. J Pediatr Gastroenterol Nutr. 2010;50:256–68.
Rajindrajith S, Devanarayana NM, Benninga MA. Review article: faecal incontinence in children: epidemiology, pathophysiology, clinical evaluation and management. Aliment Pharmacol Ther. 2013;37:37–48.
Rentea RM, St Peter SD. Pediatric rectal prolapse. Clin Colon Rectal Surg. 2018;31(2):108–16.
Rosen NG, Gibbs DL, Soffer SZ, et al. The nonoperative management of fistula-in-ano. J Pediatr Surg. 2000;35:938–9.
Trecartin AC, Peña A, Lovell M, et al. Anal duplication: is surgery indicated? A report of three cases and review of the literature. Pediatr Surg Int. 2019;35(9):971–8.
Woodward MN, Foley P, Cusick EL. Colostomy for treatment of functional constipation in children: a preliminary report. J Pediatr Gastroenterol Nutr. 2004;38:75–8.
Yamana T. Japanese practice guidelines for anal disorders II. Anal fistula. J Anus Rectum Colon. 2018;2(3):103–9.
Youssef NN, Barksdale E Jr, Griffiths JM, et al. Management of intractable constipation with antegrade enemas in neurologically intact children. J Pediatr Gastroenterol Nutr. 2002;34:402–5.
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Pakarinen, M.P., Rintala, R.J., Koivusalo, A. (2020). Disorders of Anus and Rectum. In: Puri, P. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38482-0_109-1
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DOI: https://doi.org/10.1007/978-3-642-38482-0_109-1
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