Journals / Çocuk Cerrahisi Dergisi / 2018 / Cilt: 32 - Sayı: 3

Contrast enema in Hirschprung’s disease

Hirschsprung hastalığında kontrastlı lavman

Pages
119–125
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Contrast enema may be more helpful to predict the proximal level of the aganglionic segment, so that it facilitates the surgical planning, rather than diagnosing the disease, and moreover it may be useful in the differential diagnosis of HD.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Contrast enema is the primary diagnostic method for Hirschsprung disease (HD).
📊
Key Findings & Data:However, it alone is not reliable enough for the diagnosis of HD.
💡
Conclusion & Impact:Contrast enema may be more helpful to predict the proximal level of the aganglionic segment, so that it facilitates the surgical planning, rather than diagnosing the disease, and moreover it may be useful in the differential diagnosis of HD.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Contrast enema is the primary diagnostic method for Hirschsprung disease (HD). However, it alone is not reliable enough for the diagnosis of HD. The method has some limitations in detecting HD in the first month of life and in diagnosing long segment or total colonic aganglionosis. Contrast enema may be more helpful to predict the proximal level of the aganglionic segment, so that it facilitates the surgical planning, rather than diagnosing the disease, and moreover it may be useful in the differential diagnosis of HD.

Özet

Kontrastlı lavman, Hirschsprung hastalığı (HH) tanısında ilk kullanılan yöntemdir. Ancak, HH tanısında tek başına güvenilir değildir. Yöntemin, özellikle yaşamın ilk ayında HH’nın saptanmasında, uzun segment HH ve total kolonik aganglionozis tanısında sınırlamaları mevcuttur. Kontrastlı lavman, HH’nın tanısından çok, aganglionik segmentin proksimal seviyesinin öngörülmesini sağlayıp cerrahi planlamaya yardımcı olabilir; ayrıca, HH ayırıcı tanısına giren diğer hastalıkların ayırt edilmesini sağlayabilir.

🔖

Cite This Article

YAZICI, Z. (2018). Contrast enema in Hirschprung’s disease. Çocuk Cerrahisi Dergisi, Cilt: 32 - Sayı: 3, 119–125. https://ajindex.com/articles/152414

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Huang CC, Shih SL, Chen YF, Yang FS. Hirschsprung disease and contrast enema: diagnostic value of simplified contrast enema and twenty-four-hour-delayed abdominal radiographs. J Radiol Sci. 2011;36:159-64
  2. Stranzinger, DiPietro MA, Teitelbaum DH, Strouse PJ. Imaging of total colonic Hirschsprung disease. Pediatr Radiol. 2008;38:1162-70.
  3. Anupama B, Zheng S, Xiao X. Ten-year experience in the management of total colonic aganglionosis. J Pediatr Surg. 2007;42:1671-6.
  4. Pochaczevsky R, Leonidas JC. The “recto-sigmoid” index. A measurement for the early diagnosis of Hirschsprung’s disease. Am J Roentgenol AJR. 1975;123:770-7.
  5. Garcia R, Arcement C, Hormaza L et al. Use of the recto-sigmoid index to diagnose Hirschsprung’s disease. Clin Pediatr. 2007;46:59-63.
  6. Jamieson DH, Dundas SE, Belushi SA, Cooper M, Blair GK. Does the transition zone reliably delineate aganglionic bowel in Hirschsprung’s disease? Pediatr Radiol. 2004;34:811-5.
  7. Muller CO, Mignot C, Belarbi N, Berrebi D, Bonnard A. Does the radiographic transition zone correlate with the level of aganglionosis on the specimen in Hirschsprung’s disease? Pediatr Surg Int. 2012;28:597- 601.
  8. Sheng TW, Wang CR, Lo WC, et al. Total colonic aganglionosis: reappraisal of contrast enema study. J Radiol Sc. 2012;37:11-9
  9. Maxfield CM, Bartz BH, Shaffer JL. A pattern-based approach to bowel obstruction in the newborn. Pediatr Radiol. 2013;43:318-29.
  10. Coran AG, Teitelbaum DH. Recent advances in the management of Hirschsprung’s disease. Am J Surg. 2000;180:382-7.
  11. Escobar MA, Grosfeld JL, West KW et al. Long-term outcomes in total colonic aganglionosis: a 32-year experience. J Pediatr Surg. 2005;40:955-61.
  12. Wong CWY, Lau CT, Chung PHY, Lam WMW, Wong KKY, Tam PKH. The value of the 24-h delayed abdominal radiograph of barium enema in the diagnosis of Hirschsprung’s disease. Pediatr Surg Int. 2015;31:11-5.
  13. Pratap A, Gupta DK, Tiwari A, et al. Application of a plain abdominal radiograph transition zone (PARTZ) in Hirschsprung’s disease. BMC Pediatr. 2007;7:5. https://