J.Jpn. Surg. Soc.. 86(9): 1273-1276, 1985
Report on the annual meeting
PATHOPHYSIOLOGY AND TREATMENT OF IDIOPATHIC CHRONIC
CONSTIPATION WITH MEGARECTUM IN CHILDREN
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The Second Department of Surgery, Mie University School of Medicine, Tsu, Japan Shin'ichi Amano, Yoshihide Tsukamoto, Atsuji Sakurai, Masaki Funada, Hiroshi Koike, Makoto Honzumi, Hiroshi Suzuki |
Patients without megarectum showed normal anorectal pressures, recto-anal reflex, rectal sensation and rectal compliance, but motility of the colon was disturbed in these patients. Patients with megarectum also had normal anorectal pressures, recto-anal reflex and rectal sensation, but they showed remarkably high rectal compliance, or excessive rectal reservoir.
Patients without megarectum were treated with laxatives and all of them were cured within 6 months after institution of therapy. Patients with megarectum were treated with rectal washout and suppository and 14 out of 20 were cured within 10 months. Six out of 20 patients with megarectum, however, were resistent to conservative therapy and necessity of surgical treatment to reduce the excessive rectal reservoir was proposed for these patients.
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