Diseases of the Colon in Children

Abstract

Constipation, rectal bleeding and rectal prolapse in children are often overtreated. Prompt and proper management of imperforate anus plays a large role in the eventual outcome. The importance of detecting anomalies of the urinary tract is stressed, together with adequate postoperative care to prevent fecal impactions.

Hirschsprung's disease may masquerade as intestinal obstruction in the newborn period. Rectal biopsy establishes the diagnosis by demonstrating the absence of ganglion cells in Auerbach's plexus in the distal segment of the colon. Colostomy is indicated, with closure of the stoma and reconstruction of the colon when the child is one year of age.