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Rectal prolapse and mental health disorders in pediatric patients 


Journal of Pediatrics & Neonatal Care
Ashlyn E Whitlock, Lorena Rincon-Cruz, Lauren Mednick, Farokh R Demehri, Belinda Dickie, Prathima Nandivada

Abstract

Background: Pediatric rectal prolapse (RP) is a rare but burdensome disease. We sought to describe our RP patient population’s mental behavioral health disorder (MBHD) history and compare their outcomes.

Methods: In a single center retrospective cohort study, all patients who underwent surgical evaluation of RP from 2016-2021 were identified and reviewed.

Results: Of 56 patients identified, 30 met inclusion criteria, 16 (53.3%) had a documented MBHD. Those with MBHD were significantly older (14.4 vs 9.4 years, p=0.027), and had higher rates of constipation (15, 94% vs 19, 17%, p =0.05). They had significantly longer duration of medical management before intervention than those without MBHD (216 vs 57 days, p=0.046). Ultimately, more patients with MBHD underwent operative intervention for rectal prolapse (8, 50% vs 2, 14.2%, p =0.019).

Conclusions: Pediatric patients with rectal prolapse have a high rate of MBHD and despite longer intervals of medical management, often require operative intervention.

Keywords

rectal prolapse, neurologic disorders, cystic fibrosis, mental and behavioral health disorders

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