title: [The value of anorectal sphincteromyectomy for the diagnosis and treatment of chronic constipation in children].
abstract: From January 1974 till the end of 1981, 105 children with chronic constipation not responding to any medical treatment, were submitted to anorectal myomectomy. This operation has both a diagnostic and a therapeutic value; the histological study of the muscle biopsy can confirm or not a Hirschsprung's disease. It is also an ideal treatment in cases of achalasia and idiopathic chronic constipation. If necessary a secondary rectosigmoidectomy can be performed. We did not have any important complication, none of our patients had soiling. Eighty-eight percent of our patients had regular bowel movements after the anorectal myomectomy with a better individual, social and family life.
mesh_terms: D000293:Adolescent; D000328:Adult; D001003:Anal Canal / Q000473:pathology / Q000601:surgery*; D001706:Biopsy; D002648:Child; D002675:Child, Preschool; D003248:Constipation / Q000209:etiology / Q000628:therapy*; D006627:Hirschsprung Disease / Q000175:diagnosis; D006801:Humans; D007223:Infant; D012002:Rectal Diseases / Q000150:complications / Q000175:diagnosis
vernacular_title: Intérêt de la sphinctéromyectomie ano-rectale pour le diagnostic et le traitement des constipations chroniques de l'enfant.