Acquired Ano Rectal Conditions (AARC) in Children Seen at Gezira National Center for Pediatric Surgery (GNCPS-Sudan), Epidemiology, Management, and Outcome
DOI:
https://doi.org/10.35916/thmr.vi0.44Keywords:
acquired anorectal conditions, rectal polyp, rectal prolapse.Abstract
The study's main objective is to determine the epidemiology, treatment, and outcome of the acquired anorectal conditions seen at the GNCPS. This study was a retrospective and prospective descriptive hospital-based study involving (131) child with Acquired anorectal conditions (AARC) who presented to GNCPS during the two-year study period. Data regarding the presentation, management, and post-operative course to look after complications and outcomes were collected. Data were collected using a formulated questionnaire and analyzed using (SPSS 17). Data considered statistically significant when P-value is less than 0.05. The study involved a total number of 131 children with AACS. The mean age of presentation is (5.78 years) with an overall 1.4:1 male to female ratio. Most of the study subjects are from rural areas, 66.4 percent. Most of them treated surgically, 83.2 percent, and 16.8 percent medically, with an overall complication rate of 24.4 percent. Conclusion Acquired Ano Rectal Conditions commonly seen at the preschooler age, mean (5.78 years). Rectal polyps and rectal prolapse were among the most frequently seen acquired anorectal conditions in children. Most of the cases treated surgically with an overall complication rate of 24.4 percent.
References
Jamshidi R. Pediatric and Congenital Colorectal Diseases in the Adult Patient: Anorectal Complaints: Hemorrhoids, Fissures, Abscesses, Fistulae. Clinics in colon and rectal surgery, 2018 Mar; 31(2):11
Ameh EA. Perianal abscess and fistula in children in Zaria. Niger Postgrad Med J, 2003; 10:107–109.
Charalampopoulos A, Zavras N, Kapetanakis EI, Kopanakis K, Misiakos E, Patapis P, Martikos G, Machairas A. Surgical treatment of perianal abscess and fistula-in-ano in childhood, with an emphasis in children older than two years. Journal of pediatric surgery, 2012 Nov 1; 47(11):2096-100.
Juth Karlsson A, Salö M, Stenström P. Outcomes of various interventions for first-time perianal abscesses in children. BioMed research international, 2016 Oct; 2016.
Samuk I, Avinadav E, Barak U, Seguier E, Steiner Z, Freud E. Perianal abscess in infants: Amenable to conservative treatment in selected cases. Pediatrics International, 2019 Nov; 61(11):1146-50.
Gulack BC, Wolinska JM, Himidan S. Anorectal Complaints (Proctology): Hemorrhoids, Fissures, Abscesses, Fistulae. InPearls and Tricks in Pediatric Surgery, 2021 (pp. 247-255). Springer, Cham.
Gong Z, Han M, Wu Y, Huang X, Xu WJ, Lv Z. Treatment of first-time perianal abscess in childhood, balance recurrence and fistula formation rate with medical intervention. European Journal of Pediatric Surgery, 2018 Aug; 28(04):373-7.
Gosemann JH, Lacher M. Perianal Abscesses and Fistulas in Infants and Children. European Journal of Pediatric Surgery, 2020 Sep 28.
Shafer A.D., McGlone T.P., Flanagan R.A. Abnormal crypts of Morgagni: The cause of perianal abscess and fistula-in-ano. J Pediatr Surg, 1987; 22:203-204.
Emile SH, Elfeki H, Abdelnaby M. A systematic review of the management of anal fistula in infants. Techniques in coloproctology, 2016 Nov;20(11):735-44.
Patkova B, Wester T. Anal Fissure in Children. European Journal of Pediatric Surgery, 2020 Sep 13.
Joda AE, Al-Mayoof AF. Efficacy of nitroglycerine ointment in the treatment of pediatric anal fissure. Journal of pediatric surgery, 2017 Nov 1; 52(11):1782-6.
Saad AM, Omer A. Surgical treatment of chronic fissure in- ano: a prospective randomized study. East Afr Med J, 1992 Nov; 69(11): 613-615.
Nelson R. Operative procedures for Fissure-in-Ano . Cochrane Database Syst Rev, 2002;(1):CD002199.
Al-Raymoony AE. Surgical treatment of anal fissures under local anesthesia. Saudi Med J, 2001 Feb; 22(2):114-116.
Alonso-Coello P, Guyatt G, Heels-Ansdell D, et al. Laxatives for the treatment of hemorrhoids . Cochrane Database Syst Rev, 2005; (4):CD004649.
Vincent MV, Abel C, Duncan ND. Penetrating anorectal injuries in Jamaican children. Pediatric surgery international, 2012 Nov 1; 28(11):1101-7.
Savoie KB, Beazley TM, Cleveland B, Khaneki S, Markel TA, Hammer PM, Savage S, Williams RF. The utility of presacral drainage in penetrating rectal injuries in adult and pediatric patients. Journal of Surgical Research, 2017 Nov 1; 219:279-87.
Choi PM, Wallendorf M, Keller MS, Vogel AM. Traumatic colorectal injuries in children: The National Trauma Database experience. Journal of pediatric surgery, 2017 Oct 1; 52(10):1625-7.
Ameh EA, Anorectal injuries in children. Pediatr Surg Int, 2000; 16:388–391.
Fahmy MA, Ezzelarab S. Outcome of submucosal injection of different sclerosing materials for rectal prolapse in children. Pediatr Surg Int, May 2004; 20(5):353-6.
Morrison ZD, LaPlant M, Hess D, Segura B, Saltzman D. A systematic review of management options in pediatric rectal prolapse. Journal of pediatric surgery, 2019 Sep 1; 54(9):1782-7.
Rentea RM, St Peter SD. Pediatric and Congenital Colorectal Diseases in the Adult Patient: Pediatric Rectal Prolapse. Clinics in colon and rectal surgery, 2018 Mar; 31(2):108.
Chen w. et al. Colorectal polyps in children: a retrospective study of clinical features and the value of ultrasonography their diagnosis. J Pediatr Surg, 2012; 47, 1853–1858.
Kay M, Eng K, Wyllie R. Colonic polyps and polyposis syndromes in pediatric patients. Current opinion in pediatrics, 2015 Oct 1; 27(5):634-41.
Thakkar K, Fishman DS, Gilger MA. Colorectal polyps in childhood. Current opinion in pediatrics, 2012 Oct 1; 24(5):632-7.