Injection sclerotherapy in the treatment of rectal prolapse in children comparing three different sclerosing materials

Injection sclerotherapy is one of the commonly used modalities for treating partial rectal prolapsed in children. Various materials are available for such injection, but each has its advantages and complications. To compare three different sclerosing materials used in the treatment of such pathology to define the best material with the least complications. In the period between February 2004 to February 2009, n=55 children with rectal prolapsed who failed to respond to initial management including correction of predisposing factors were included in this study. They were divided into three groups [A, B and C], each group was treated by submucosal injection of different scierosing material [Histoacryl, Saline 15% and Cow's milk] respectively. Number of injections, recurrences, and complications were reviewed. After the first injection the success rate was 89.5% in group [A] versus 81.6% in group [B] and 86.6% in group [C]. After the second injection the success rate was 100% in group [A] versus 90.4% in group [B] and 93.3% in group [C]. No need for third injection in group [A], while the success rate after the third injection was 95.5% in group [B] versus 100% in group [C]. Complications recorded was one case allergic reaction at injection site in group [A] and one case of fever with inflammatory reaction in group [C]. Injection sclerotherapy with Histoacryl for treatment of rectal prolapse in children is a simple, safe and effective treatment with minimal complications

Adult oncology and chronically ill patients: comparison of depression, anxiety and caregiver's quality of life

A diagnosis of cancer can be devastating for patients and their loved ones. We compared the intensity of anxiety and depression for 30 terminally ill cancer patients and 30 chronically ill patients and the quality of life of their most attendant caregivers. Hamilton depression and anxiety scales were used with the patients and the quality of life scale [family] was used with the caregivers. Cancer patients and their caregivers had significantly higher scores on these scales and suffered more from depression and anxiety than chronically ill patients and caregivers. Cancer patient caregivers also had poorer quality of life than did caregivers of the chronically ill