Treatment of rectal prolapse in children with cow milk injection sclerotherapy: 30-year experience

World J Gastroenterol. 2008 Feb 7;14(5):737-40. doi: 10.3748/wjg.14.737.

Abstract

Aim: To evaluate the role and our experience of injection sclerotherapy with cow milk in the treatment of rectal prolapse in children.

Methods: In the last 30 years (1976-2006) we made 100 injections of sclerotherapy with cow milk in 86 children. In this study we included children who failed to respond to conservative treatment and we perform operative treatment.

Results: In our study we included 86 children and in all of the patients we perform cow milk injection sclerotherapy. In 95.3% (82 children) of patients sclerotherapy was successful. In 4 (4.7%) patients we had recurrent rectal prolapse where we performed operative treatment. Below 4 years we had 62 children (72%) and 24 older children (28%). In children who needed operative treatment we performed Thiersch operation and without any complications.

Conclusion: Injection sclerotherapy with cow milk for treatment rectal prolapse in children is a simple and effective treatment for rectal prolapse with minimal complications.

MeSH terms

  • Animals
  • Cattle
  • Child
  • Child, Preschool
  • Combined Modality Therapy
  • Female
  • Humans
  • Infant
  • Injections
  • Male
  • Milk*
  • Rectal Prolapse / surgery
  • Rectal Prolapse / therapy*
  • Sclerotherapy / methods*