Two patients with persistent severe encopresis after surgery for Hirschsprung's disease were treated with a token economy type of behavior modification therapy. After eight weeks there was very marked improvement, which persisted after discharge home without relapse after four and eight months respectively.
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References
1.
HirschsprungH., Stultragheit neugeborener en folge von dilation and hypertrophie des colons, Jarb Kinderheilk, 27, pp. 1–7, 1888.
2.
BodianM.StephensF. D.WardB. C. H., Hirschsprung's Disease and Idiopathic Megacolon, Lancet, 1, p. 6, 1949.
3.
GryborskiJ., Gastro-Intestinal Problems in the Infant, Major Problems in Clinical Pediatrics, Vol. XIII, W. B. Saunders Co., Philadelphia, London, Toronto, 1975.
4.
BoleyS. J., The Pathophysiology of Hirschsprung's Disease – A Continuing Search, J. Pediat. Surg., 10:6, p. 861, 1975.
5.
RoyC. C.SilvermanA.CozzettoF. J., Pediatric Clinical Gastroenterology, The C. V. Mosby Co., 1975.
6.
KlotzD. H.Jr.VelcekF. T.KottmeirP. H., Re Appraisal of the Endorectal Pull-Through Operation for Hirschsprung's Disease, J. Pediat. Surg., 8, p. 595, 1973.
7.
WeitzmanJ. J.HansonB. A.BrennanL. P., Management of Hirschpsrung's Disease with the Swenson Procedure, J. Pediat. Surg., 7, p. 157, 1972.
8.
BellmanM., Studies on Encopresis, Acta Paediat. Supp., p. 170, 1966.
9.
AnthonyE. J., An Experimental Approach to the Psychopathology of Childhood: Encopresis, Brit. J. Med. Psychol., 30, p. 146, 1957.
10.
PinkertonP. C., Psychogenic Megacolon in Children: The Implications of Bowel Negativism, Arch. Dis. Child., 33, p. 371, 1958.
11.
SelanderP.ToroldA., Enokpres, Nord. Med., 72, p. 1110, 1964.
12.
RossA. O., Behaviour Therapy, QuayH.WerryJ. (eds.), Psychopathological Disorders of Childhood, John Wiley, New York, 1972.
13.
PassargeE., The Genetics of Hirschsprung's Disease, New Engl. J. Med., 276, p. 138, 1967.
14.
RutterM.TizardJ.WhitmoreK., (eds.), Education, Health and Behaviour, Longman, London, 1970.
15.
TannerJ. M., (ed.), Human Growth, Pergamon, London, 1960.
16.
AnthonyE. J.KoupernikC., (eds.), The Child in His Family, Vol. 1, Wiley-Interscience, 1970.
17.
GrahamP., Management in Child Psychiatry: Recent Trends, Brit. J. Psychiat., 129, pp. 97–108, 1976.
18.
O'LearyD. K.WilsonG. T., Behaviour Therapy, Application and Outcome, Prentice-Hall Inc., Englewood Cliffs, New Jersey, 1975.
