Clinical Examinations of the Rectoanal Inhibitory Reflex Correlated with Anography Findings, Histopathological Findings, and Clinical Outcomes

Christina Granéli; Pernilla Stenström; Anna Börjesson; Einar Arnbjörnsson

doi:10.4172/2161-1076.1000213

Clinical Examinations of the Rectoanal Inhibitory Reflex Correlated with Anography Findings, Histopathological Findings, and Clinical Outcomes

Christina Granéli, Pernilla Stenström, Anna Börjesson, Einar Arnbjörnsson

Paediatrics (Lund)

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Abstract

The diagnostic method for Hirschsprung’s disease (HD) involves rectal biopsy to determine the presence of
histopathological findings for aganglionosis. Contrast enema (CE) and anorectal manometry help to support the
indication for biopsies. Patients with HD lack a rectoanal inhibitory reflex (RAIR) that can be studied using manometry,
ultrasound, or a modified contrast enema (CE), which provokes the RAIR with an injection of cold fluid. A question that
arises is whether the RAIR also could be visualized with only a specific clinical examination.

Original language	English
Article number	1000213
Journal	Surgery: Current Research
Volume	4
Issue number	6
DOIs	https://doi.org/10.4172/2161-1076.1000213
Publication status	Published - 2014

Subject classification (UKÄ)

Pediatrics

Free keywords

Hirschsprung’s disease
Aganglionosis
Diagnostic
Rectoanal inhibitory reflex (RAIR)
Radiology
Modified contrast enema
Clinical examination
Neonatal surgery

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OMICS_Graneli

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title = "Clinical Examinations of the Rectoanal Inhibitory Reflex Correlated with Anography Findings, Histopathological Findings, and Clinical Outcomes",

abstract = "The diagnostic method for Hirschsprung{\textquoteright}s disease (HD) involves rectal biopsy to determine the presence of histopathological findings for aganglionosis. Contrast enema (CE) and anorectal manometry help to support the indication for biopsies. Patients with HD lack a rectoanal inhibitory reflex (RAIR) that can be studied using manometry, ultrasound, or a modified contrast enema (CE), which provokes the RAIR with an injection of cold fluid. A question that arises is whether the RAIR also could be visualized with only a specific clinical examination.",

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author = "Christina Gran{\'e}li and Pernilla Stenstr{\"o}m and Anna B{\"o}rjesson and Einar Arnbj{\"o}rnsson",

year = "2014",

doi = "10.4172/2161-1076.1000213",

language = "English",

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journal = "Surgery: Current Research",

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T1 - Clinical Examinations of the Rectoanal Inhibitory Reflex Correlated with Anography Findings, Histopathological Findings, and Clinical Outcomes

AU - Granéli, Christina

AU - Stenström, Pernilla

AU - Börjesson, Anna

AU - Arnbjörnsson, Einar

PY - 2014

Y1 - 2014

N2 - The diagnostic method for Hirschsprung’s disease (HD) involves rectal biopsy to determine the presence of histopathological findings for aganglionosis. Contrast enema (CE) and anorectal manometry help to support the indication for biopsies. Patients with HD lack a rectoanal inhibitory reflex (RAIR) that can be studied using manometry, ultrasound, or a modified contrast enema (CE), which provokes the RAIR with an injection of cold fluid. A question that arises is whether the RAIR also could be visualized with only a specific clinical examination.

AB - The diagnostic method for Hirschsprung’s disease (HD) involves rectal biopsy to determine the presence of histopathological findings for aganglionosis. Contrast enema (CE) and anorectal manometry help to support the indication for biopsies. Patients with HD lack a rectoanal inhibitory reflex (RAIR) that can be studied using manometry, ultrasound, or a modified contrast enema (CE), which provokes the RAIR with an injection of cold fluid. A question that arises is whether the RAIR also could be visualized with only a specific clinical examination.

KW - Hirschsprung’s disease

KW - Aganglionosis

KW - Diagnostic

KW - Rectoanal inhibitory reflex (RAIR)

KW - Radiology

KW - Modified contrast enema

KW - Clinical examination

KW - Neonatal surgery

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DO - 10.4172/2161-1076.1000213

M3 - Article

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VL - 4

JO - Surgery: Current Research

JF - Surgery: Current Research

IS - 6

M1 - 1000213

ER -

Clinical Examinations of the Rectoanal Inhibitory Reflex Correlated with Anography Findings, Histopathological Findings, and Clinical Outcomes

Abstract

Subject classification (UKÄ)

Free keywords

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