Transient Intestinal Ileus in Neonate: A Study of Comparison with Hirschsprung's Disease / 대한소아소화기영양학회지
Korean Journal of Pediatric Gastroenterology and Nutrition
; : 194-198, 2009.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-49621
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE:
Severe abdominal distension is not uncommon symptom in the neonate. Two major causes of this symptom are benign transient intestinal ileus (BTII) and Hirschsprung`s disease (HD). But it is difficult to differentiate BTII from HD based on the symptoms and simple abdominal x-ray findings. The aim of this retrospective study was to assess the clinical aspects and diagnostic tests differencing two diseases.METHODS:
From August 2004 to March 2009, nineteen patients with severe abdominal distension, who underwent barium enema, anorectal manometry, and rectal suction biopsy (triple tests) due to a suspicion of HD, were enrolled. A comparison of clinical data associated with BTII and HD based on the clinical features and results of triple tests.RESULTS:
The age of onset of symptom was between 2 and 6 weeks in BTII and within 3 weeks in HD. On the barium enema, transitional zone revealed in 6 (50%) patients in BTII and 4 (57.1%) in HD. On anorectal manometry, the anorectal inhibitory reflex was present in 11 (91.7%) patients in BTII and 1 (14.3%) in HD. On rectal suction biopsy, ganglion cell was present in 9 (75%) patients in BTII and 0 (0%) in HD. Abdominal distension was improved within 3 months of life in all cases of BTII.CONCLUSION:
We think that anorectal manometry may be more simple and useful diagnostic method than barium enema and rectal suction biopsy for differential diagnosis of transient intestinal ileus and Hirschsprung's disease.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Reflexo
/
Sucção
/
Bário
/
Biópsia
/
Estudos Retrospectivos
/
Idade de Início
/
Cistos Glanglionares
/
Íleus
/
Diagnóstico Diferencial
/
Testes Diagnósticos de Rotina
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Limite:
Humanos
/
Recém-Nascido
Idioma:
Coreano
Revista:
Korean Journal of Pediatric Gastroenterology and Nutrition
Ano de publicação:
2009
Tipo de documento:
Artigo