鎖肛術後排便管理における緩下剤投与の検討

概要

論文の詳細を見る
This study is a review of laxatives used in children after operation of imperforate anus. Fifty out of 73 cases took various kinds of laxatives. Percentage of laxative-dependent patients in high type anomalies was not so different from that in low types. Sodium pico-sulfate, available as watery droplet, and bisacodyl as rectal suppositories were frequently used. Half of patients became free of laxatives by 3 or 4-year-old. Eight patiens needed laxatives beyond seven-year-old. Seven of them had other handicaps such as serious sacral anomalies and mental retadation. Prophylactic use of laxatives shortened the period of drug administration, when compared with therapeutic use after fecal impaction. In the postoperative care of imperforate anus, laxatives should be used as a prophylactic way for fecal retention in children younger than 3 or 4-year-old. The older patients should weaned away from laxatives with aquisition of bowel control. For patients with sacral anomalies or mental retardation, use of laxatives are the least troublesome way to put them back to social life in school age or in adolescence.
日本小児外科学会の論文
1987-10-20