THERAPEUTIC APPROACH (CONSERVATIVE, ENDOSCOPIC, SURGICAL)
The therapeutic approach depending on the condition can be conservative or invasive (endoscopic, surgical).
- Conservative treatment (medications, nutritional, etc.) includes the treatment of constipation and fecal incontinence of any etiology, Inflammatory Bowel Diseases, Neuronal Intestinal Dysplasia (NID) and more complex problems resulting from surgery after repair of congenital anorectal conditions and Hirschsprung’s disease.
- Endoscopic intervention is an important diagnostic or therapeutic tool for the largest percentage of the above diseases.
- SOFT TISSUEENDOSCOPY (FISTULAS ETC)
- Surgical treatment includes:
- ANORECTAL ANOMALIES (PSARP, MINI PSARP, PSARPVUR)
- ALTERNATIVE SURGICAL APPROACH (MALONE appendicostomyor neoappendicostomy) in children who need daily enemas from the rectum and do not wish to [ANTEGRADE CONTINENCE ENEMA (ACE) PROCEDURE MALONE APPENDICOSTOMY OR NEO-APPENDICOSTOMY]
- CONGENITAL MEGACOLON – HIRSCHSPRUNG (DUHAMELL- MARTIN)
- PERIANAL ABSCESS&FISTULAS (classical open treatment or endoscopic laser approach)
- RECTAL PROLAPSE – correction as appropriate
- ANAL FISSURES – HEMORRHOIDS
- POLYPS OF THE COLON – endoscopic removal
- TREATMENT OF DISEASES WHICH ARE NORMALLY TREATED CONSERVATIVELY AND THERE IS AN INDICATION OF SURGICAL TREATMENT LATER ON AFTER INITIAL CONSERVATIVE MANAGEMENT (NID, constipation, incontinence, inflammatory bowel diseases)