A case of laparoscopic rectopexy for chronic organic constipation due to insufficient fixation of the rectum to the sacrum in a 14-year-old boy
Constipation in children can be classified as transient or chronic and as functional or organic. Although most pediatric constipation is functional, organic constipation may be masked by a chronic course. We encountered a case of chronic constipation refractory to treatment with rectal fixation and...
Saved in:
Published in | Journal of pediatric surgery case reports Vol. 77; p. 102150 |
---|---|
Main Authors | , , , , , , , , , , , |
Format | Journal Article |
Language | English |
Published |
Elsevier Inc
01.02.2022
Elsevier |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Constipation in children can be classified as transient or chronic and as functional or organic. Although most pediatric constipation is functional, organic constipation may be masked by a chronic course. We encountered a case of chronic constipation refractory to treatment with rectal fixation and subsequently diagnosed it as organic constipation.
A 14-year-old boy experienced chronic constipation since 8 years of age, and used to attempt defecation for more than 1 h at a time. The symptoms did not improve with conservative treatment such as medications. Rectal contrast revealed that the rectum was flexed ventrally and separated from the sacrum, with dilatation of the intestine on the oral side. He was diagnosed with organic constipation due to insufficient fixation of the rectum to the sacrum, and underwent laparoscopic rectal fixation. Postoperative rectal contrast revealed that the rectum had traveled along the curved surface of the sacrum. Defecation remarkably improved after the surgery.
In this case, chronic organic constipation occurred due to insufficient fixation of the rectum to the sacrum, and could be resolved by rectal fixation. We should recognize insufficient fixation of the rectum to the sacrum as one of the causes of chronic constipation, and treat childhood chronic constipation accordingly.
●Chronic organic constipation occurred due to insufficient fixation of the rectum●Organic constipation improves by correction of anatomical abnormalities●Insufficient fixation of the rectum can be treated with laparoscopic rectopexy |
---|---|
AbstractList | Constipation in children can be classified as transient or chronic and as functional or organic. Although most pediatric constipation is functional, organic constipation may be masked by a chronic course. We encountered a case of chronic constipation refractory to treatment with rectal fixation and subsequently diagnosed it as organic constipation.
A 14-year-old boy experienced chronic constipation since 8 years of age, and used to attempt defecation for more than 1 h at a time. The symptoms did not improve with conservative treatment such as medications. Rectal contrast revealed that the rectum was flexed ventrally and separated from the sacrum, with dilatation of the intestine on the oral side. He was diagnosed with organic constipation due to insufficient fixation of the rectum to the sacrum, and underwent laparoscopic rectal fixation. Postoperative rectal contrast revealed that the rectum had traveled along the curved surface of the sacrum. Defecation remarkably improved after the surgery.
In this case, chronic organic constipation occurred due to insufficient fixation of the rectum to the sacrum, and could be resolved by rectal fixation. We should recognize insufficient fixation of the rectum to the sacrum as one of the causes of chronic constipation, and treat childhood chronic constipation accordingly.
●Chronic organic constipation occurred due to insufficient fixation of the rectum●Organic constipation improves by correction of anatomical abnormalities●Insufficient fixation of the rectum can be treated with laparoscopic rectopexy Constipation in children can be classified as transient or chronic and as functional or organic. Although most pediatric constipation is functional, organic constipation may be masked by a chronic course. We encountered a case of chronic constipation refractory to treatment with rectal fixation and subsequently diagnosed it as organic constipation.A 14-year-old boy experienced chronic constipation since 8 years of age, and used to attempt defecation for more than 1 h at a time. The symptoms did not improve with conservative treatment such as medications. Rectal contrast revealed that the rectum was flexed ventrally and separated from the sacrum, with dilatation of the intestine on the oral side. He was diagnosed with organic constipation due to insufficient fixation of the rectum to the sacrum, and underwent laparoscopic rectal fixation. Postoperative rectal contrast revealed that the rectum had traveled along the curved surface of the sacrum. Defecation remarkably improved after the surgery.In this case, chronic organic constipation occurred due to insufficient fixation of the rectum to the sacrum, and could be resolved by rectal fixation. We should recognize insufficient fixation of the rectum to the sacrum as one of the causes of chronic constipation, and treat childhood chronic constipation accordingly. |
ArticleNumber | 102150 |
Author | Matsumoto, Hiroaki Ueda, Yoshitake Etoh, Tsuyoshi Tojigamori, Manabu Kono, Yohei Inomata, Masafumi Kaisyakuji, Yushi Akagi, Tomonori Ninomiya, Shigeo Shiroshita, Hidefumi Ogawa, Katsuhiro Ohno, Yasuharu |
Author_xml | – sequence: 1 givenname: Yushi surname: Kaisyakuji fullname: Kaisyakuji, Yushi organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan – sequence: 2 givenname: Katsuhiro surname: Ogawa fullname: Ogawa, Katsuhiro email: katsu-ogawa@oita-u.ac.jp organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan – sequence: 3 givenname: Tsuyoshi surname: Etoh fullname: Etoh, Tsuyoshi organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan – sequence: 4 givenname: Hiroaki surname: Matsumoto fullname: Matsumoto, Hiroaki organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan – sequence: 5 givenname: Yohei surname: Kono fullname: Kono, Yohei organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan – sequence: 6 givenname: Tomonori surname: Akagi fullname: Akagi, Tomonori organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan – sequence: 7 givenname: Shigeo surname: Ninomiya fullname: Ninomiya, Shigeo organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan – sequence: 8 givenname: Yoshitake surname: Ueda fullname: Ueda, Yoshitake organization: Department of Comprehensive Surgery for Community Medicine, Oita University Faculty of Medicine, Japan – sequence: 9 givenname: Manabu surname: Tojigamori fullname: Tojigamori, Manabu organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan – sequence: 10 givenname: Hidefumi surname: Shiroshita fullname: Shiroshita, Hidefumi organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan – sequence: 11 givenname: Yasuharu surname: Ohno fullname: Ohno, Yasuharu organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan – sequence: 12 givenname: Masafumi surname: Inomata fullname: Inomata, Masafumi organization: Department of Gastroenterological and Pediatric Surgery, Oita University Faculty of Medicine, Japan |
BookMark | eNp9kc1q3TAQhUVIIWmaF-hKL-Bb_ViSDdmE0DaBQDftWozHo0aXG8tIviH3KfrKleNSuupqdI40H5o579n5lCZi7KMUOymk_bTf0Vxwp4SS1VDSiDN2qZTUjXHWnv9zvmDXpeyFEFIZ02t9yX7dcoRCPAV-gBlyKpjmiDwTLmmm1xMPKXN8ymmqbso_Ya2YprLEGZaYJj4eiS-Jx6kcQ4gYaVp4iK_bZeUuT_SGOz6vz1ZVAHNVceLAZducCHKTDiMf0ukDexfgUOj6T71iP758_n533zx--_pwd_vYoLZyabADDX03OOzByKCVUUFia0RPMDiQXZWdxSrRCu2EMaMbtNFt3wnT91JfsYeNOybY-znHZ8gnnyD6N6MO6iEvEQ_kpRicq0SJRG2wocOgwWnTSdu3yrrKUhsL6_pKpvCXJ4VfE_J7vybk14T8llBtutmaqE75Ein7sq4OaYzrsuo34v_afwPcGpuG |
Cites_doi | 10.1542/peds.2009-1009 10.1089/lap.2020.0050 10.1016/j.cppeds.2020.100802 10.1016/j.epsc.2016.04.019 10.1097/MPG.0000000000000266 10.1111/j.1463-1318.2009.01859.x 10.1016/j.jpedsurg.2019.10.049 10.1007/s00383-005-1384-y 10.1016/j.jpedsurg.2019.03.002 10.1111/ases.12768 10.1136/gut.34.10.1400 |
ContentType | Journal Article |
Copyright | 2021 The Authors |
Copyright_xml | – notice: 2021 The Authors |
DBID | 6I. AAFTH AAYXX CITATION DOA |
DOI | 10.1016/j.epsc.2021.102150 |
DatabaseName | ScienceDirect Open Access Titles Elsevier:ScienceDirect:Open Access CrossRef DOAJ Directory of Open Access Journals |
DatabaseTitle | CrossRef |
DatabaseTitleList | |
Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 2213-5766 |
ExternalDocumentID | oai_doaj_org_article_10b771821cee4f6f8cf3a73581694267 10_1016_j_epsc_2021_102150 S2213576621003717 |
GroupedDBID | .1- .FO 0R~ 0SF 1P~ 4.4 457 53G 5VS 6I. AACTN AAEDT AAEDW AAFTH AAIKJ AALRI AAXUO ABFRF ABMAC ACGFS ADBBV ADEZE AEFWE AEVXI AEXQZ AFCTW AFRHN AFTJW AGHFR AITUG AJUYK ALMA_UNASSIGNED_HOLDINGS AMRAJ BCNDV EBS EJD FDB GROUPED_DOAJ GX1 HZ~ IPNFZ IXB KQ8 M41 M48 M~E NCXOZ O-L O9- OK- OK1 OW- RIG ROL SSZ UNMZH Z5R AAYXX ADVLN AKRWK CITATION |
ID | FETCH-LOGICAL-c361t-c8a3a98b7c9a51f3252f1c4509eab7a182f186c09ec6037055d7b353498059913 |
IEDL.DBID | M48 |
ISSN | 2213-5766 |
IngestDate | Thu Jul 04 21:11:28 EDT 2024 Fri Aug 23 03:07:27 EDT 2024 Fri Feb 23 02:40:23 EST 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Keywords | Children Organic constipation Laparoscopic rectopexy Insufficient fixation of the rectum |
Language | English |
License | This is an open access article under the CC BY-NC-ND license. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c361t-c8a3a98b7c9a51f3252f1c4509eab7a182f186c09ec6037055d7b353498059913 |
OpenAccessLink | https://www.sciencedirect.com/science/article/pii/S2213576621003717 |
ParticipantIDs | doaj_primary_oai_doaj_org_article_10b771821cee4f6f8cf3a73581694267 crossref_primary_10_1016_j_epsc_2021_102150 elsevier_sciencedirect_doi_10_1016_j_epsc_2021_102150 |
PublicationCentury | 2000 |
PublicationDate | February 2022 2022-02-00 2022-02-01 |
PublicationDateYYYYMMDD | 2022-02-01 |
PublicationDate_xml | – month: 02 year: 2022 text: February 2022 |
PublicationDecade | 2020 |
PublicationTitle | Journal of pediatric surgery case reports |
PublicationYear | 2022 |
Publisher | Elsevier Inc Elsevier |
Publisher_xml | – name: Elsevier Inc – name: Elsevier |
References | Tabbers, DiLorenzo, Berger, Faure, Langendam, Nurko (bib1) 2014; 58 Inomata, Shiroshita, Uchida, Bandoh, Akira, Yamaguchi (bib11) 2020; 13 Bongers, van Wijk, Reitsma, Benninga (bib13) 2010; 126 Osuchukwu, Dorman, Dekonenko, Svetanoff, Fraser, Aguayo (bib9) 2020; 30 Biggs, Dery (bib6) 2006; 73 Shah, Parikh, Jawaheer, Gornall (bib7) 2005; 21 Motamed, Mohsenipour, Seifirad, Yusefi, Farahmand, Khodadad (bib5) 2012; 22 Pandey, Khanna, Srivastava, Kumar, Panigrahi, Sharma (bib2) 2020; 55 Sumida, Kaneko, Ono, Takasu (bib8) 2016; 10 Mutyala, Sanders, Bates (bib4) 2020; 50 Loening-Baucke (bib12) 1993; 34 Morrison, LaPlant, Hess, Segura, Saltzman (bib3) 2019; 54 Boons, Collinson, Cunningham, Lindsey (bib10) 2010; 12 Morrison (10.1016/j.epsc.2021.102150_bib3) 2019; 54 Inomata (10.1016/j.epsc.2021.102150_bib11) 2020; 13 Bongers (10.1016/j.epsc.2021.102150_bib13) 2010; 126 Biggs (10.1016/j.epsc.2021.102150_bib6) 2006; 73 Loening-Baucke (10.1016/j.epsc.2021.102150_bib12) 1993; 34 Pandey (10.1016/j.epsc.2021.102150_bib2) 2020; 55 Tabbers (10.1016/j.epsc.2021.102150_bib1) 2014; 58 Shah (10.1016/j.epsc.2021.102150_bib7) 2005; 21 Motamed (10.1016/j.epsc.2021.102150_bib5) 2012; 22 Mutyala (10.1016/j.epsc.2021.102150_bib4) 2020; 50 Boons (10.1016/j.epsc.2021.102150_bib10) 2010; 12 Sumida (10.1016/j.epsc.2021.102150_bib8) 2016; 10 Osuchukwu (10.1016/j.epsc.2021.102150_bib9) 2020; 30 |
References_xml | – volume: 54 start-page: 1782 year: 2019 end-page: 1787 ident: bib3 article-title: A systematic review of management options in pediatric rectal prolapse publication-title: J Pediatr Surg contributor: fullname: Saltzman – volume: 22 start-page: 457 year: 2012 end-page: 462 ident: bib5 article-title: Red flags of organic recurrent abdominal pain in children: study on 100 subjects publication-title: Iran J Pediatr contributor: fullname: Khodadad – volume: 58 start-page: 258 year: 2014 end-page: 274 ident: bib1 article-title: Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN publication-title: J Pediatr Gastroenterol Nutr contributor: fullname: Nurko – volume: 10 start-page: 7 year: 2016 end-page: 9 ident: bib8 article-title: A new type of defecation disorder due to insufficient fixation of the rectum to the sacrum is improved by rectopexy: a report of three cases publication-title: J Pediatr Surg Case Rep contributor: fullname: Takasu – volume: 13 start-page: 7 year: 2020 end-page: 18 ident: bib11 article-title: Current status of endoscopic surgery in Japan: the 14th national survey of endoscopic surgery by the Japan society for endoscopic surgery publication-title: Asian J Endosc Surg contributor: fullname: Yamaguchi – volume: 21 start-page: 270 year: 2005 end-page: 273 ident: bib7 article-title: Persistent rectal prolapse in children: sclerotherapy and surgical management publication-title: Pediatr Surg Int contributor: fullname: Gornall – volume: 73 start-page: 469 year: 2006 end-page: 477 ident: bib6 article-title: Evaluation and treatment of constipation in infants and children publication-title: Am Fam Physician contributor: fullname: Dery – volume: 30 start-page: 679 year: 2020 end-page: 684 ident: bib9 article-title: Same-day discharge and quality of life for primary laparoscopic rectopexy for rectal prolapse in children: a 10-year experience publication-title: J Laparoendosc Adv Surg Tech contributor: fullname: Aguayo – volume: 12 start-page: 526 year: 2010 end-page: 532 ident: bib10 article-title: Laparoscopic ventral rectopexy for external rectal prolapse improves constipation and avoids de novo constipation publication-title: Colorectal Dis contributor: fullname: Lindsey – volume: 126 start-page: e156 year: 2010 end-page: e162 ident: bib13 article-title: Long-term prognosis for childhood constipation: clinical outcomes in adulthood publication-title: Pediatrics contributor: fullname: Benninga – volume: 55 start-page: 972 year: 2020 end-page: 976 ident: bib2 article-title: Simplified laparoscopic suture rectopexy for idiopathic rectal prolapse in children: technique and results publication-title: J Pediatr Surg contributor: fullname: Sharma – volume: 34 start-page: 1400 year: 1993 end-page: 1404 ident: bib12 article-title: Constipation in early childhood: patient characteristics, treatment, and longterm follow up publication-title: Gut contributor: fullname: Loening-Baucke – volume: 50 start-page: 100802 year: 2020 ident: bib4 article-title: Assessment and management of pediatric constipation for the primary care clinician publication-title: Curr Probl Pediatr Adolesc Health Care contributor: fullname: Bates – volume: 126 start-page: e156 issue: 1 year: 2010 ident: 10.1016/j.epsc.2021.102150_bib13 article-title: Long-term prognosis for childhood constipation: clinical outcomes in adulthood publication-title: Pediatrics doi: 10.1542/peds.2009-1009 contributor: fullname: Bongers – volume: 30 start-page: 679 issue: 6 year: 2020 ident: 10.1016/j.epsc.2021.102150_bib9 article-title: Same-day discharge and quality of life for primary laparoscopic rectopexy for rectal prolapse in children: a 10-year experience publication-title: J Laparoendosc Adv Surg Tech doi: 10.1089/lap.2020.0050 contributor: fullname: Osuchukwu – volume: 22 start-page: 457 issue: 4 year: 2012 ident: 10.1016/j.epsc.2021.102150_bib5 article-title: Red flags of organic recurrent abdominal pain in children: study on 100 subjects publication-title: Iran J Pediatr contributor: fullname: Motamed – volume: 50 start-page: 100802 issue: 5 year: 2020 ident: 10.1016/j.epsc.2021.102150_bib4 article-title: Assessment and management of pediatric constipation for the primary care clinician publication-title: Curr Probl Pediatr Adolesc Health Care doi: 10.1016/j.cppeds.2020.100802 contributor: fullname: Mutyala – volume: 10 start-page: 7 year: 2016 ident: 10.1016/j.epsc.2021.102150_bib8 article-title: A new type of defecation disorder due to insufficient fixation of the rectum to the sacrum is improved by rectopexy: a report of three cases publication-title: J Pediatr Surg Case Rep doi: 10.1016/j.epsc.2016.04.019 contributor: fullname: Sumida – volume: 58 start-page: 258 issue: 2 year: 2014 ident: 10.1016/j.epsc.2021.102150_bib1 article-title: Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN publication-title: J Pediatr Gastroenterol Nutr doi: 10.1097/MPG.0000000000000266 contributor: fullname: Tabbers – volume: 73 start-page: 469 issue: 3 year: 2006 ident: 10.1016/j.epsc.2021.102150_bib6 article-title: Evaluation and treatment of constipation in infants and children publication-title: Am Fam Physician contributor: fullname: Biggs – volume: 12 start-page: 526 issue: 6 year: 2010 ident: 10.1016/j.epsc.2021.102150_bib10 article-title: Laparoscopic ventral rectopexy for external rectal prolapse improves constipation and avoids de novo constipation publication-title: Colorectal Dis doi: 10.1111/j.1463-1318.2009.01859.x contributor: fullname: Boons – volume: 55 start-page: 972 issue: 5 year: 2020 ident: 10.1016/j.epsc.2021.102150_bib2 article-title: Simplified laparoscopic suture rectopexy for idiopathic rectal prolapse in children: technique and results publication-title: J Pediatr Surg doi: 10.1016/j.jpedsurg.2019.10.049 contributor: fullname: Pandey – volume: 21 start-page: 270 issue: 4 year: 2005 ident: 10.1016/j.epsc.2021.102150_bib7 article-title: Persistent rectal prolapse in children: sclerotherapy and surgical management publication-title: Pediatr Surg Int doi: 10.1007/s00383-005-1384-y contributor: fullname: Shah – volume: 54 start-page: 1782 issue: 9 year: 2019 ident: 10.1016/j.epsc.2021.102150_bib3 article-title: A systematic review of management options in pediatric rectal prolapse publication-title: J Pediatr Surg doi: 10.1016/j.jpedsurg.2019.03.002 contributor: fullname: Morrison – volume: 13 start-page: 7 issue: 1 year: 2020 ident: 10.1016/j.epsc.2021.102150_bib11 article-title: Current status of endoscopic surgery in Japan: the 14th national survey of endoscopic surgery by the Japan society for endoscopic surgery publication-title: Asian J Endosc Surg doi: 10.1111/ases.12768 contributor: fullname: Inomata – volume: 34 start-page: 1400 issue: 10 year: 1993 ident: 10.1016/j.epsc.2021.102150_bib12 article-title: Constipation in early childhood: patient characteristics, treatment, and longterm follow up publication-title: Gut doi: 10.1136/gut.34.10.1400 contributor: fullname: Loening-Baucke |
SSID | ssj0001255933 |
Score | 2.2280648 |
Snippet | Constipation in children can be classified as transient or chronic and as functional or organic. Although most pediatric constipation is functional, organic... |
SourceID | doaj crossref elsevier |
SourceType | Open Website Aggregation Database Publisher |
StartPage | 102150 |
SubjectTerms | Children Insufficient fixation of the rectum Laparoscopic rectopexy Organic constipation |
SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1LT8MwDI4QJy4IBIjxkg_cUKSlSdP2OBDThAQnJu1WJWkiDY112kPafgV_GbvpUE9w4Zg2TSvbsb9U9mfG7qWq0C1axX3hK65cEbjNpeZKeGEyNOi-o3rn1zc9GquXSTrptPqinLBIDxwFh7vaZug_E4HeXAUdchekyYi1SxcYXWIduUg7h6n4dwWRctNHPkmE5AiqdVsxE5O7_GJF_IWJIOoCQUX3najUkPd3glMn4AxP2HGLFGEQv_CUHfj5GfsagMO4A3WAGYY5oqKsF1MH5Lfqhd_uAEEouMh4C7FlkwNHILDNnYZq42FdAyWhN_QRGHUgTLfxJq6LiLBZbvNJ02i0Mm6Jo-kcDAjFd7g5eD2rwNa7czYePr8_jXjbU4E7qcWau9xIU-Q2c4VJRZBJmgThFMIGb2xmUNBB5Nrh0Om-JKqdKrMylarIiclFyAt2OK_n_pKBqGxaeI_4qsIzZYKP6yClNaZILeIA02MPe5mWi0idUe5zyj5K0kBJGiijBnrskcT-M5Nor5sLKKqyNYbyL2PosXSvtLJFEBEZ4FLTX15-9R8vv2ZHCdVGNCndN-xwvdz4W0Qsa3vXGOc3oDrmNA priority: 102 providerName: Directory of Open Access Journals – databaseName: ScienceDirect Free & Delayed Access Titles dbid: IXB link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1LS8QwEA6yJy-iqLi-mIM3CWuaR9vjKooIelFhbyVJE6jotri7sPsr_MvOtF1ZLx48Jp2k7cw086XMfGHsQqoSl0WneMhDyZXPI3eZNFyJIGyKDn3lqd758cncv6qHiZ5ssZt1LQylVfZrf7emt6t13zPqtTlqqmr0nCRCIlo2uGkh3jmqKCduTyrim1xv_GdBzNyeKE_ynAb0tTNdmldoZsRkmAgiMRBUfr8Rn1oa_40wtRF67nbZTo8ZYdw91h7bCtN99jUGjxEI6gjvGPCIlLJuKg_0NnUTlitAOAq-476F7vAmD57gYJ9FDeUiwLwGSkdviSQw_kCslt1FnBexYTvd4oPEqDWz_hNb1RQsCMVX-Jnw-r0EV68O2Ovd7cvNPe9PV-BeGjHnPrPS5plLfW61iDLRSRReIYAI1qUW9x1RZMZj0xvU75XWZeqklirPiNNFyEM2mNbTcMRAlE7nISDSKnF3meBwE6V01ubaISKwQ3a51mnRdCQaxTq77K0gCxRkgaKzwJBdk9p_JIkAu-1AVRW9B6CoSzGsJgKDvIomZj5KmxKZm8kRdKRDptdGK375E05V_XHz43-OO2HbCRVGtPncp2ww_1yEM4Qrc3fe-uM3ys7nTw priority: 102 providerName: Elsevier |
Title | A case of laparoscopic rectopexy for chronic organic constipation due to insufficient fixation of the rectum to the sacrum in a 14-year-old boy |
URI | https://dx.doi.org/10.1016/j.epsc.2021.102150 https://doaj.org/article/10b771821cee4f6f8cf3a73581694267 |
Volume | 77 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3dS-QwEA-LvvhynOjh3p0yD75JDvPRtH04REVRYX26hX0rSZrAHnvbvf2A3b_Cf9mZtHsqiHAvhbTptJ1JMr8pk98wdqp0jcui0zyUoebal5G7QhmuRRA2xwF97mm_8-DR3A31wygb9di23FGnwMW7oR3VkxrOJz_WfzcXOOF_vuRqhdmC6AilICaCFMLvSq00jfhBB_fbfy6In1N1eSmF4gi1TbeP5n0xb3xVovR_5bJeuaHbz-xThx_hsjX4PuuF6QF7ugSP3giaCBN0fkRQ2czGHmg1w89ZbwChKfiWBxfaQk4ePEHDLqMa6lWAZQOUmp5IJdAXQRyv24soF3FiErf6Q92otbB-jq3xFCwIzTc4ZXgzqcE1m0M2vL35dX3Hu0oL3CsjltwXVtmycLkvbSaikpmMwmsEE8G63GIMEkVhPDa9OVdEwFPnTmVKlwXxuwj1he1Mm2k4YiBql5UhIOqqMdKUeLuJSjlry8whOrB9drbVaTVrCTWqbabZ74osUJEFqtYCfXZFav_Xk8iw0wlUVdXNLezqcnSxUqDD19HEwkdlcyJ2MyUCkLzPsq3Rqg5XtHgBRY0_ePjX_3rVb2xP0taIlNH9ne0s56twjIBl6U5SoI_H-9HVSRqRzzej6RA |
link.rule.ids | 315,786,790,870,2115,3525,24346,27957,27958,45909 |
linkProvider | Scholars Portal |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1NT9wwELUoPdBLRdUilrYwh96Qtev4I_EREGhpgQsg7S2yHVsKopsIdiX2V_QvdybJVsulB452PE4yM_E8RzPPjP2QqsJl0Ssebay4CjZxX0jDlYjC5ejQk0D1ztc3Znqvfs70bIudrWthKK1yWPv7Nb1brYee8aDNcVvX49ssExLRssFNC_HO5e_Ye6XthFz7cna68aMFQXN3pDwJcJIYimf6PK_YPhOVYSaIxUBQ_f1GgOp4_Dfi1EbsudhlHwfQCCf9c31iW3H-mf05gYAhCJoEjxjxiJWyaesA9DpNG19WgHgUQk9-C_3pTQEC4cEhjRqqZYRFA5SP3jFJYACCVL_0F3FeBIfddMvfNIxazy48YauegwOh-Aq_E948VuCb1Rd2f3F-dzblw_EKPEgjFjwUTjpb-DxYp0WSmc6SCAoRRHQ-d7jxSKIwAZvBoIInWle5l1oqWxCpi5B7bHvezOM-A1F5bWNEqFXh9jJDcZOk9M5Z7RESuBE7Xuu0bHsWjXKdXvZQkgVKskDZW2DETknt_0YSA3bXgaoqBxfAoT7HuJoJjPIqmVSEJF1ObG7GIurIR0yvjVa-ciicqv7PzQ_eKHfEdqZ311fl1eXNr6_sQ0ZVEl1y9ze2vXhaxu-IXRb-sPPNv4jr6nY |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=A+case+of+laparoscopic+rectopexy+for+chronic+organic+constipation+due+to+insufficient+fixation+of+the+rectum+to+the+sacrum+in+a+14-year-old+boy&rft.jtitle=Journal+of+pediatric+surgery+case+reports&rft.au=Kaisyakuji%2C+Yushi&rft.au=Ogawa%2C+Katsuhiro&rft.au=Etoh%2C+Tsuyoshi&rft.au=Matsumoto%2C+Hiroaki&rft.date=2022-02-01&rft.issn=2213-5766&rft.eissn=2213-5766&rft.volume=77&rft.spage=102150&rft_id=info:doi/10.1016%2Fj.epsc.2021.102150&rft.externalDBID=n%2Fa&rft.externalDocID=10_1016_j_epsc_2021_102150 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2213-5766&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2213-5766&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2213-5766&client=summon |