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신생아 Hirschsprung's Disease에서 Barium Enema의 진단적 의의

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Author(s)
이상호최순옥박우현이희정서수지
Keimyung Author(s)
Choi, Soon OkPark, Woo HyunLee, Hee JungSuh, Soo Jhi
Department
Dept. of Surgery (외과학)
Dept. of Radiology (영상의학)
Journal Title
대한외과학회지
Issued Date
1993
Volume
45
Issue
6
Abstract
To investigate the significance of the barium enema in the diagnosis of neonatal Hirschsprung's disease(HD), we retrospectively reviewed radiologic findings of the barium enemas, primarily based on transition zone and rectosigmoid index(RSI)’ in the 34 neonates with surgically confirmed HD.
We classified the cases into 3 groups, i.e. 1) Compatible HD, showing a cone-shaped transition zone. 2) Suggestive HD, showing questionable transition zone and abnormal RSI(RSI<1). 3) "Unremarkable", showing no transiton zone and normal RSI(RSI> 1).
The neonates with HD in this study consisted of 30 males and 4 females, and majority of them were less than 2 weeks of age at the time of barium enema examination. As for the results from barium enema examination, there were compatible HD in 13 cases(38%), suggestive HD in 9 cases(26%) whose majority proved to have short segment HD, and "unremarkable" in 12 cases(35%). Based on the extent of the aganglionic segment, the sensitivity including the neonates with suggestive HD was 83% in short segment HD and 50% in long segment HD. The overall sensitivity based on transition zone and RSI was 65%(23/34).
In summary, these results demonstrate that barium enema in neonatal HD appears to be valuable because the meaningful radiologic findings such as transition zone or abnormal RSI can be expected in approximately two thirds of neonatal HD. In those neonates who are suspected of having HD but show an equivocal transition zone or no transition zone in barium enema examination, rectal suction biopsy with acetylcholiesterase stain should be performed as the procedure of choice.
Alternative Title
How Useful Is the Barium Enema in the Diagnosis of Neonatal Hirschsprung's disease?
Keimyung Author(s)(Kor)
최순옥
박우현
이희정
서수지
Publisher
School of Medicine
Citation
이상호 et al. (1993). 신생아 Hirschsprung’s Disease에서 Barium Enema의 진단적 의의. 대한외과학회지, 45(6), 885–893.
Type
Article
ISSN
1226-0053
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38209
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Radiology (영상의학)
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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