TY - CHAP M1 - Book, Section TI - Chapter 30. Rectal Prolapse Reduction A1 - Chin, Anthony A1 - Browne, Marybeth A1 - Reynolds, Marleta A2 - Goodman, Denise M. A2 - Green, Thomas P. A2 - Unti, Sharon M. A2 - Powell, Elizabeth C. Y1 - 2007 N1 - T2 - Current Procedures: Pediatrics AB - • Most cases of rectal prolapse reduce spontaneously.• Rarely, a surgical procedure may be necessary to correct a full-thickness prolapse.• Rectal prolapse should be promptly reduced to prevent a sustained prolapse that allows edema to form and potential subsequent venous congestion and thrombosis to develop, which may lead to ulceration of the rectal mucosa with bowel ischemia and infarction.• A rectal examination needs to be performed to differentiate prolapse from an intussusception or rectal polyp.• Diagnostic studies are often not necessary, but a proctoscopy, colonoscopy, or barium enema may be indicated when the patient has a history of rectal bleeding.• Children need to be tested for parasites and cystic fibrosis as well as other causes of anal straining (including neuromuscular problems, proctitis, and inflammatory bowel disease). SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/28 UR - accesspediatrics.mhmedical.com/content.aspx?aid=7000355 ER -