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 |
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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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