Hirschsprung's disease other diagnostic studies: Difference between revisions

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==Overview==
==Overview==
Other diagnostic studies include: rectal [[biopsy]], [[barium enema]], and [[anorectal]] [[manometry]]. A rectal biopsy, showing ganglionic cells absence, is the gold standard confirmatory test for Hirschsprung's disease.<ref name="pmid25448783">{{cite journal |vauthors=Wetherill C, Sutcliffe J |title=Hirschsprung disease and anorectal malformation |journal=Early Hum. Dev. |volume=90 |issue=12 |pages=927–32 |year=2014 |pmid=25448783 |doi=10.1016/j.earlhumdev.2014.09.016 |url=}}</ref><ref name="pmid28600660">{{cite journal |vauthors=Das K, Mohanty S |title=Hirschsprung Disease - Current Diagnosis and Management |journal=Indian J Pediatr |volume= |issue= |pages= |year=2017 |pmid=28600660 |doi=10.1007/s12098-017-2371-8 |url=}}</ref>
Other diagnostic studies include rectal [[biopsy]], [[barium enema]], and [[anorectal]] [[manometry]]. A rectal biopsy, which will show an absence of [[ganglionic cells]], is the gold standard confirmatory test for Hirschsprung's disease.<ref name="pmid25448783">{{cite journal |vauthors=Wetherill C, Sutcliffe J |title=Hirschsprung disease and anorectal malformation |journal=Early Hum. Dev. |volume=90 |issue=12 |pages=927–32 |year=2014 |pmid=25448783 |doi=10.1016/j.earlhumdev.2014.09.016 |url=}}</ref><ref name="pmid28600660">{{cite journal |vauthors=Das K, Mohanty S |title=Hirschsprung Disease - Current Diagnosis and Management |journal=Indian J Pediatr |volume= |issue= |pages= |year=2017 |pmid=28600660 |doi=10.1007/s12098-017-2371-8 |url=}}</ref>


==Other Diagnostic Studies==
==Other Diagnostic Studies==
A rectal [[biopsy]], presenting the absence of ganglionic cells, is the gold standard confirmatory test for Hirschsprung's disease.<ref name="pmid25448783">{{cite journal |vauthors=Wetherill C, Sutcliffe J |title=Hirschsprung disease and anorectal malformation |journal=Early Hum. Dev. |volume=90 |issue=12 |pages=927–32 |year=2014 |pmid=25448783 |doi=10.1016/j.earlhumdev.2014.09.016 |url=}}</ref><ref name="pmid28600660">{{cite journal |vauthors=Das K, Mohanty S |title=Hirschsprung Disease - Current Diagnosis and Management |journal=Indian J Pediatr |volume= |issue= |pages= |year=2017 |pmid=28600660 |doi=10.1007/s12098-017-2371-8 |url=}}</ref>
A rectal [[biopsy]] presenting the absence of [[ganglionic cells]] is the gold standard confirmatory test for Hirschsprung's disease.<ref name="pmid25448783">{{cite journal |vauthors=Wetherill C, Sutcliffe J |title=Hirschsprung disease and anorectal malformation |journal=Early Hum. Dev. |volume=90 |issue=12 |pages=927–32 |year=2014 |pmid=25448783 |doi=10.1016/j.earlhumdev.2014.09.016 |url=}}</ref><ref name="pmid28600660">{{cite journal |vauthors=Das K, Mohanty S |title=Hirschsprung Disease - Current Diagnosis and Management |journal=Indian J Pediatr |volume= |issue= |pages= |year=2017 |pmid=28600660 |doi=10.1007/s12098-017-2371-8 |url=}}</ref>


{| class="wikitable"
{| class="wikitable"
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* Absence of [[ganglion cells|ganglionic cells]]  
* Absence of [[ganglion cells|ganglionic cells]]  
* Presence of thickened, unmyelinated [[nerves]]
* Presence of thickened, unmyelinated [[nerves]]
* Increased activity of [[acetylcholinesterase]]; absence of nicotinamide adenine dinucleotide phosphate (NADP) diaphorase-containing neurons
* Increased activity of [[acetylcholinesterase]]; absence of [[nicotinamide adenine dinucleotide phosphate]] (NADP) diaphorase-containing neurons
* Increase in the amount of [[acetylcholinesterase]]-containing nerve bundles
* Increase in the amount of [[acetylcholinesterase]]-containing nerve bundles
|-
|-

Revision as of 15:07, 4 August 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] ; Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]

Overview

Other diagnostic studies include rectal biopsy, barium enema, and anorectal manometry. A rectal biopsy, which will show an absence of ganglionic cells, is the gold standard confirmatory test for Hirschsprung's disease.[1][2]

Other Diagnostic Studies

A rectal biopsy presenting the absence of ganglionic cells is the gold standard confirmatory test for Hirschsprung's disease.[1][2]

Diagnostic Test FIndings
Rectal biopsy
Enema
  • Contracted distal bowel and dilated proximal bowel, with demonstration of the transition zone location in between
Anorectal manometry
  • Absent anal reflex and increased pressure

References

  1. 1.0 1.1 Wetherill C, Sutcliffe J (2014). "Hirschsprung disease and anorectal malformation". Early Hum. Dev. 90 (12): 927–32. doi:10.1016/j.earlhumdev.2014.09.016. PMID 25448783.
  2. 2.0 2.1 Das K, Mohanty S (2017). "Hirschsprung Disease - Current Diagnosis and Management". Indian J Pediatr. doi:10.1007/s12098-017-2371-8. PMID 28600660.

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