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World J Gastroenterol. Feb 7, 2008; 14(5): 737-740
Published online Feb 7, 2008. doi: 10.3748/wjg.14.737
Treatment of rectal prolapse in children with cow milk injection sclerotherapy: 30-year experience
Mirko Zganjer, Ante Cizmic, Irenej Cigit, Bozidar Zupancic, Igor Bumci, Ljiljana Popovic, Antun Kljenak
Mirko Zganjer, Ante Cizmic, Irenej Cigit, Bozidar Zupancic, Igor Bumci, Ljiljana Popovic, Antun Kljenak, Department of Paediatric Surgery, Children's Hospital Zagreb, Klai eva 16, Zagreb 10000, Croatia
Author contributions: Zganjer M and Cizmic A performed research and wrote the paper; Cigit I analyzed data; Zupancic B and Bumci I designed research; Popovic L and Kljenak A contributed equally to this work
Correspondence to: Mirko Zganjer, Department of Paediatric Surgery, Children's Hospital Zagreb, Klai eva 16, Zagreb 10000, Croatia. mirko.zganjer@zg.htnet.hr
Telephone: +385-1-4600143
Fax: +385-1-4826053
Received: September 26, 2007
Revised: December 17, 2007
Published online: February 7, 2008
Abstract

AIM: To evaluate the role and our experience of injection sclerotherapy with cow milk in the treatment of rectal prolapse in children.

METHODS: In the last 30 years (1976-2006) we made 100 injections of sclerotherapy with cow milk in 86 children. In this study we included children who failed to respond to conservative treatment and we perform operative treatment.

RESULTS: In our study we included 86 children and in all of the patients we perform cow milk injection sclerotherapy. In 95.3% (82 children) of patients sclerotherapy was successful. In 4 (4.7%) patients we had recurrent rectal prolapse where we performed operative treatment. Below 4 years we had 62 children (72%) and 24 older children (28%). In children who needed operative treatment we performed Thiersch operation and without any complications.

CONCLUSION: Injection sclerotherapy with cow milk for treatment rectal prolapse in children is a simple and effective treatment for rectal prolapse with minimal complications.

Keywords: Rectal prolapse; Sclerotherapy with cow milk; Children