Is Barium Enema Reliable for the Diagnosis of Total Colonic Aganglionosis?
Ju-Yeon LEE; Dae-Yeon KIM; Jeong-Rye KIM; Jung-Man NAMGOONG; Seong-Chul KIM.
Journal of the Korean Association of Pediatric Surgeons
; : 10-13, 2018.
Artículo
en Ko
| WPRIM | ID: wpr-740664
PURPOSE:
Barium enema is one of the diagnostic modalities for Hirschsprung'sdisease. The present study aimed to investigate the diagnostic accuracy of barium enema for Hirschsprung's disease, especially total colonic aganglionosis (TCA).METHODS:
We retrospectively reviewed the medical records of all the patients who were diagnosed as having TCA and underwent a barium enema in Asan Medical Center Children's Hospital between January 1998 and December 2016. All the tests were performed and reviewed by pediatric radiologists.RESULTS:
Among the total 19 patients with TCA who underwent barium enema, 9 patients (47.4%) had accurate radiographic results. Eight of the 13 neonate patients (61.5%) showed typical TCA radiological findings. However, only one of the 6 patients aged >4 weeks (16.7%) had accurate radiological diagnosis.CONCLUSION:
Barium enema showed low accuracy for TCA, and its diagnostic performance was better in neonatal period than in those aged >4 weeks.
Biblioteca responsable:
WPRO
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