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.
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 |
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Article number | 1000213 |
Journal | Surgery: Current Research |
Volume | 4 |
Issue number | 6 |
DOIs | |
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