Use of the recto-sigmoid index to diagnose Hirschsprung's disease

被引：27

作者：

Garcia, R.

Arcement, C.

Hormaza, L.

Haymon, M. L.

Ward, K.

Velasco, C.

Correa, H.

Congeni, J. D.

Brown, R.

Tyson, P.

Udall, J.

Schmidt-Sommerfeld, E.

机构：

[1] Louisiana State Univ, Hlth Sci Ctr, Dept Pediat, Baton Rouge, LA 70803 USA

[2] Louisiana State Univ, Hlth Sci Ctr, Sch Publ Hlth, Baton Rouge, LA 70803 USA

[3] Louisiana State Univ, Hlth Sci Ctr, Dept Pathol, Div Pediat Pathol, Baton Rouge, LA 70803 USA

[4] Louisiana State Univ, Hlth Sci Ctr, Dept Radiol, Div Pediat Radiol, Baton Rouge, LA 70803 USA

[5] Louisiana State Univ, Hlth Sci Ctr, Dept Pediat, Div Gastroenterol, Baton Rouge, LA 70803 USA

来源：

CLINICAL PEDIATRICS | 2007年 / 46卷 / 01期

关键词：

Hirschsprung's disease; aganglionosis; rectosigmoid index; barium enema;

D O I：

10.1177/0009922806289328

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

The recto-sigmoid index on barium enema may aid in the diagnosis of Hirschsprung's disease. However, data on its reliability in different age groups are sparse. The recto-sigmoid index and transitional zone were evaluated blindly in 107 patients with diagnostic rectal suction biopsies. Patients were divided into 3 groups: neonates, infants older than I month, and children. The recto-sigmoid index and transitional zone agreed with the histopathologic diagnosis in 79% and 87% of the cases, respectively. Their negative predictive values reached clinical significance in infants and children but not in neonates. Their positive predictive values were not significant in any age group. The recto-sigmoid index identified 4 patients with recto-sigmoid Hirschsprung's disease whose diagnosis was missed by evaluating the transitional zone alone. Clin Pediatr. 2006;00: 1-5

引用

页码：59 / 63

页数：5

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