Rodríguez WU, Olivares BD

Language: Spanish
References: 16
Page: 129-132
PDF size: 118.50 Kb.

ABSTRACT

Hirschsprung’s disease is characterized by the presence of severe constipation accompanied by dilatation and hypertrophy of the colon, due to congenital absence of ganglion cells in the plexuses of Auerbach and of Meissner, on the wall of the rectum and colon in other segments of the colon. The different diagnostic procedures have different sensibility and diagnostic specificity. The colon by enema has a sensitivity of 70% and a specificity of 83%. Anorectal manometry has a sensitivity of 91% and a specificity of 94%. The rectal aspiration biopsy has a sensitivity of 93% and a specificity of 98%. While the rectal biopsy of total thickness has a sensitivity and specificity of nearly 100%.

REFERENCES

1. Loening-Baucke V. Chronic constipation in children. Gastroenterology 1993; 105(5): 1557-64.

2. De Lorijn F, Kremer LCM, Reitsma JB, Benninga MA. Diagnostic tests in Hirschsprung disease: A systematic review. J Pediatr Gastroenterol Nutr 2006; 42(5): 496-505.

3. Sanz E, Negro LF, Capilla JM, Teixidor JL. Diagnóstico y tratamiento de la enfermedad de Hirschsprung. Revisión de 29 casos. Bol Pediatr 1992; 32: 305-10.

4. Ikeda K, Goto S. Diagnosis and treatment of Hirschsprung´s disease in Japan. An analysis of 1628 patients. Ann Surg 1984; 199(4): 400-5.

5. Rodríguez-Wong U. Manometría ano-rectal, perspectivas actuales. Rev Hosp Jua Mex 2006; 73(1): 28-32.

6. Mahboubi S, Schnaufer L. The barium-enema examination and rectal manometry in Hirschsprung disease. Radiol 1978; 130(3): 643-7.

7. Fogel R, Bonilla Y, Fogel J. Utilidad del ultrasonido endoscópico en la enfermedad de Hirschsprung: Presentación de un caso. Clin Med HCC 2001; 6(3): 198-200.

8. Coller JA. Clinical application of anorectal manometry. Gastroenterol Clin North Am 1987; 16: 17-33.

9. Karulf RE, Coller JA, Bartolo DCC. Anorectal physiologic testing: A survey of availability and use. Dis Col Rect 1991; 34: 464-8.

10. Arias V, Gonzáles C, Figueredo S, Kasamatsu T. Relación entre el reflejo recto anal inhibitorio y biopsia rectal en pacientes pediátricos con clínica de enfermedad de Hirschprung. Cimel 2003; 8(1): 38-42.

11. Jarvi K, Koivusalo A, Rintala RJ, Pakarinen MP. Anorectal manometry with reference to operative rectal biopsy for the diagnosis/exclusión of Hirschprung’s disease in children under 1 year of age. Int J Colorect Dis 2009; 24 (4): 451-4.

12. Jaime F, Saavedra S, Gana JC, Larrain F, Harris PR. Curvas manométricas rectales en niños. Estudio promano fase I. Rev Chil Pediatr 2009; 80(3): 231-7.

13. Huang Y, Zheng, Xiao X. Preliminary evaluation of anorectal manometry in diagnosing Hirschsprung’s disease in neonates. Pediatr Surg Int 2009; 25(1): 41-5.

14. Noviello C, Cobellis G, Papparella A, Amici G, Martino A. Role of anorectal manometry in children with severe constipation. Colorect Dis 2009; 11(5): 480-4.

15. Kurer MH, Lawson JO, Pambakian H. Suction biopsy in Hirschsprung’s disease. Arch Dis Child 1986; 61(1): 83-4.

16. Gil-Vernet JM, Broto J, Guillén G. Diagnóstico diferencial Hirschsprung-neurodisplasia intestinal. Fiabilidad de las pruebas diagnósticas. Cir Pediatr 2006; 19: 91-4.