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Trends in Medical Research

Year: 2010 | Volume: 5 | Issue: 2 | Page No.: 39-56
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Authors

G. El-Maadawy

M. Balbola

M. Shahin

N. Salm

G. Khafagy

Us. Gheida

Sh. El-Maadawy

Keywords

It is an overview about encopresis, its definition, diagnosis and to focus on the role of surgery in its management. A prospective study designed to be held in multi centers in delta region of Egypt in the period from October 2002 to December 2008. Eighty five children diagnosed to be encopretic were the subject of this study. They underwent some surgical procedures and passed the integrated multi-therapeutic programs. Manometric, defecography, rectal ultrasound and recently MRI scan (in 17 child); were performed pre-operatively and during follow up period. Treatment considered effective when the child has been clean for 6 months at least. Twenty six children were primary non-retentive type (Group A: 30.6%) and fifty nine child were secondary retentive type (Group B: 69.4%); forty five child of them were due to organic causes (52.9%) needed surgical intervention. Hypotonic external sphincter was found in 7 Cases in group A (5.9%) and in 19 cases (22.4%) in group B; while thin internal sphincter was found in 5 cases in group A (8.2%) and in 11 cases in group B (12.9%). All children in group A and 24 children in group B (10 of them were underwent surgical procedures before) i.e., fifty child (58.8%); all were joined the integrative multi-therapeutic program with success rate 58% soiling free after 6 months and increased to (84%) after one year and no remission after about three years follow up; while in group B: 45 cases (52.9%) children of 59 patients underwent surgery with success rate (88.8%). Clinical and psychiatric examination in addition to anal manometry, defecography, rectal sonography and recently MRI are the main tools in diagnosis of encopresis. The integrative multi-therapeutic program is very effective (84%) with no remission in management of primary non-retentive encopretic children while surgery is the way to manage the secondary retentive encopretic children with (88.8%) success rate.
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How to cite this article

G. El-Maadawy, M. Balbola, M. Shahin, N. Salm, G. Khafagy, Us. Gheida and Sh. El-Maadawy, 2010. Encopresis: From a Surgical View in Comparison to Psychiatric Management. Trends in Medical Research, 5: 39-56.

URL: https://scialert.net/abstract/?doi=tmr.2010.39.56

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