Abstract：
BACKGROUND:The diagnosis of Hirschsprung's disease is usually made in neonates but often considered in older infants and children with constipation: these children may be referred for barium enema. Since it is widely accepted that a normal barium enema does not exclude Hirschsprung's disease, some children, after a normal enema, undergo more invasive procedures such as rectal manometry or biopsy. Our study asked how frequently a diagnosis of Hirschsprung's disease was made by biopsy or manometry in children who had normal barium enema. MATERIALS AND METHODS:We reviewed the medical records and barium enemas of 54 patients older than 28 days with constipation or difficulty passing stool who had a barium enema followed by manometry and/or biopsy. RESULTS:Forty-eight patients had normal enemas: 24 of those patients had biopsies, 16 had manometry, and 8 both manometry and biopsy. Only 1 had manometry suggestive of Hirschsprung's disease, confirmed by biopsy. Six patients had abnormal enemas. Five had biopsy and manometry compatible with Hirschsprung's disease; one had a normal biopsy and manometry study. CONCLUSION:The barium enema is a good initial screening test for Hirschsprung's disease in severely constipated children since it correlates well with manometry and biopsy. The enema is particularly useful in centers without easy access to pediatric gastroenterology services, and a normal enema in this setting allows the continuation of medical therapy with further evaluation only if there is a lack of response. An abnormal enema, however, requires referral to a facility equipped to perform confirmatory manometry or biopsy.
journal_name
Pediatr Radioljournal_title
Pediatric radiologyauthors
Reid JR,Buonomo C,Moreira C,Kozakevich H,Nurko SJdoi
10.1007/s002470000298keywords:
subject
Has Abstractpub_date
2000-10-01 00:00:00pages
681-4issue
10eissn
0301-0449issn
1432-1998journal_volume
30pub_type
杂志文章abstract：BACKGROUND:Fluoroscopically guided air reduction of intussusception is a well-accepted technique. There are only two previous reports in which US has been used to monitor pneumatic reduction. OBJECTIVE:To assess the ability of US to monitor the success of air reduction of intussusception. MATERIALS AND METHODS:Sonogr...
journal_title：Pediatric radiology
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1007/s002470050754
更新日期：2000-05-01 00:00:00
abstract：:Gorham's disease may develop in any region of the skeleton, but shows a predilection for the bones of the shoulders and pelvic girdles. Less frequently, the disease may involve the spine, and it is the proximity to the spinal cord which may worsen the patient's outcome. We report the clinical outcomes of two children ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02012113
更新日期：1994-01-01 00:00:00
abstract：:The imaging features of renal cell carcinoma in 4 young patients (age 7 to 14 years) are described. A high proportion (75%) showed calcification on plain radiographs or computed tomography (CT). Both patients who underwent CT showed well defined high density tumours which were also echogenic on ultrasound examination....
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02012496
更新日期：1992-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：
更新日期：1995-11-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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更新日期：2013-10-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-004-1294-5
更新日期：2004-12-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s002470050572
更新日期：1999-03-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02019054
更新日期：1995-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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更新日期：2017-05-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s002470050484
更新日期：1998-11-01 00:00:00
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pub_type： 杂志文章
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更新日期：2002-12-01 00:00:00
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更新日期：2020-02-01 00:00:00
abstract：:The development of lipid aspiration pneumonia after chronic nasopharyngeal installation of mineral oil was first described in 1925 by Laughlin. Since that time this entity has been well recognized and numerous substances have been identified or implicated as the aspirated material. The classic radiographic appearance ...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02389570
更新日期：1989-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-004-1305-6
更新日期：2005-02-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
doi：10.1007/s00247-009-1250-5
更新日期：2009-08-01 00:00:00
abstract：BACKGROUND:Until recently scurvy has been viewed in developed countries as a disease of the past. More recently there have been reports of case series of children with scurvy who have had a delayed diagnosis after an extensive diagnostic workup that included imaging. Most of these children have had underlying neurologi...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-016-3726-4
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:The meso-Rex bypass restores blood flow to the liver in patients with extrahepatic portal vein thrombosis. Stenosis occurs in some cases, causing the reappearance of portal hypertension. Complications such as thrombocytopenia present on a spectrum and there are currently no guidelines regarding a threshold f...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/s00247-018-4284-8
更新日期：2019-02-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF00973535
更新日期：1977-09-01 00:00:00
abstract：:Fifteen newborn infants developed roentgenographic evidence of rickets while on long-term intravenous hyperalimentation. In each instance, the initial diagnosis of rickets was suggested on the chest roentgenogram, where characteristic cupped and frayed upper humeral metaphyses were noted; subsequent knee and wrist roe...
journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02386710
更新日期：1978-12-04 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF01006901
更新日期：1975-06-13 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,已发布勘误
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更新日期：2018-10-01 00:00:00
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doi：10.1007/BF02015794
更新日期：1995-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02388756
更新日期：1985-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
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更新日期：1986-01-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章,评审
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更新日期：2004-09-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
doi：10.1007/BF02021709
更新日期：1995-01-01 00:00:00
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journal_title：Pediatric radiology
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更新日期：2018-12-01 00:00:00
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journal_title：Pediatric radiology
pub_type： 杂志文章
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更新日期：1988-01-01 00:00:00
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更新日期：2005-06-01 00:00:00
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pub_type： 杂志文章
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更新日期：2012-11-01 00:00:00
