Use of the Recto-Sigmoid Index to Diagnose Hirschsprung’s Disease

Autor: Hernan Correa, R. Garcia, J. D. Congeni, L. Hormaza, J. N. Udall, M. L. Haymon, K. Ward, E. Schmidt-Sommerfeld, R. Brown, C. Velasco, C. Arcement, P. Tyson
Rok vydání: 2007
Předmět:
Adult
Male
medicine.medical_specialty
Pediatrics
Adolescent
Biopsy
medicine.medical_treatment
Contrast Media
Enema
Suction
Sensitivity and Specificity
digestive system
Gastroenterology
Diagnosis
Differential
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Colon
Sigmoid
Predictive Value of Tests
030225 pediatrics
Internal medicine
Confidence Intervals
medicine
Humans
Clinical significance
Hirschsprung Disease
Child
Hirschsprung's disease
Retrospective Studies
Barium enema
medicine.diagnostic_test
business.industry
Infant
Newborn
Rectum
Infant
Retrospective cohort study
medicine.disease
digestive system diseases
Radiography
Barium sulfate
chemistry
Child
Preschool
Predictive value of tests
Pediatrics
Perinatology and Child Health
Female
Barium Sulfate
business
Zdroj: Clinical Pediatrics. 46:59-63
ISSN: 1938-2707
0009-9228
Popis: The recto-sigmoid index on barium enema may aid in the diagnosis of Hirschsprung’s disease. However, data on its reliability in different age groups are sparse. The recto-sigmoid index and transitional zone were evaluated blindly in 107 patients with diagnostic rectal suction biopsies. Patients were divided into 3 groups: neonates, infants older than 1 month, and children. The recto-sigmoid index and transitional zone agreed with the histopathologic diagnosis in 79% and 87% of the cases, respectively. Their negative predictive values reached clinical significance in infants and children but not in neonates. Their positive predictive values were not significant in any age group. The recto-sigmoid index identified 4 patients with recto-sigmoid Hirschsprung’s disease whose diagnosis was missed by evaluating the transitional zone alone.
Databáze: OpenAIRE
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