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

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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 languageEnglish
Article number1000213
JournalSurgery: Current Research
Volume4
Issue number6
DOIs
Publication statusPublished - 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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