Intractable constipation in children treated by forceful anal stretch or anorectal myectomy: preliminary communication.
Sixty-one children with intractable constipation admitted between 1978-1981 under the care of the author were studied retrospectively. Ten of these patients were also studied prospectively by means of defaecating proctograms, and pre- and postoperative evoked anal potentials. It was found that 85.7% of the children who had anorectal myectomies benefited from the procedure. The possible mechanism by which the improvement is achieved is discussed.
D001003:Anal Canal / Q000601:surgery*; D002648:Child; D003248:Constipation / Q000601:surgery / Q000628:therapy*; D004106:Dilatation; D006801:Humans; D009132:Muscles / Q000601:surgery*; D012007:Rectum / Q000601:surgery*; D012189:Retrospective Studies