Abstract：
AIM OF STUDY:The objective of this study is to determine the diagnostic value of the 24-h delayed film for Hirschsprung's disease (HD). Other features of the barium enema were also examined, in particular the correlation between the radiological transition zone (TZ) and the final pathology. METHODS:All patients with suspected HD from 2003 to 2013 who had undergone barium enema and rectal biopsy were reviewed retrospectively to study the correlation between radiological features of barium enema with the final diagnosis as well as severity. RESULTS:A total of 182 patients were admitted for suspected HD during the study period, of which 82 had both investigations done. 68 patients had radiological features suggestive of the disease and ultimately, 12 patients had the disease confirmed with rectal biopsy. Among those without radiological features of HD, 2 patients were found to have the disease. Thus, the sensitivity of the 24-h delayed film was 85.7 % and the specificity was 17.6 %. The positive predictive value (PPV) of this test was 20.6 % and the negative predictive value (NPV) was 85.7 %. Regarding the level of TZ, it was not detected in the barium enema in 7 (50 %) out of the 14 patients. For those with the presence of TZ, 6 (85.7 %) of them correlated well with the intra-operative findings and 4 (57.1 %) of them correlated well with the final histology. CONCLUSION:The 24-h delayed film of barium enema has a high NPV and is useful to rule out HD. However, rectal biopsy is still suggested for disease confirmation given its low PPV. Lastly, once present, the level of radiological TZ is also a useful predictor for the actual disease involvement.
journal_name
Pediatr Surg Intjournal_title
Pediatric surgery internationalauthors
Wong CW,Lau CT,Chung PH,Lam WM,Wong KK,Tam PKdoi
10.1007/s00383-014-3632-5subject
Has Abstractpub_date
2015-01-01 00:00:00pages
11-5issue
1eissn
0179-0358issn
1437-9813journal_volume
31pub_type
杂志文章abstract：:For the assessment of germ-cell maturation of the seminiferous tubules, DNA flowcytometry is a rapid and sensitive method. Phosporus 31P magnetic resonance spectroscopy (MRS) is a non-invasive alternative that demonstrates the metabolic status of the testis, reflecting the type and relative proportion of germ cells in...
journal_title：Pediatric surgery international
pub_type： 杂志文章
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abstract：:The Nuss procedure is the most popular technique for correction of pectus excavatum recently. Life-threatening complications associated with the procedure are very rare. We report a 13-year-old boy who developed late-onset bilateral hemothorax with hypovolemic shock 5 months after the Nuss procedure. In literature rev...
journal_title：Pediatric surgery international
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journal_title：Pediatric surgery international
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journal_title：Pediatric surgery international
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journal_title：Pediatric surgery international
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journal_title：Pediatric surgery international
pub_type： 杂志文章
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journal_title：Pediatric surgery international
pub_type： 杂志文章
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doi：10.1007/s00383-012-3141-3
更新日期：2012-09-01 00:00:00
abstract：:A 7-year-old female with a type I choledochal cyst underwent an exploratory laparotomy. A Roux-en-Y choledochojejunostomy was done following cyst excision. The patient was re-explored 8 days later for an anastomotic bile leak and high fever. A round-worm was found obstructing the jejunal lumen at the porta hepatis, re...
journal_title：Pediatric surgery international
pub_type： 杂志文章
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更新日期：1998-09-01 00:00:00
abstract：PURPOSE:Evaluate the management of hydrocephalus in pediatric patients in the Eastern Democratic Republic of Congo by a general surgeon. METHODS:Retrospective review of a single institution in the province of North Kivu. Patient charts and surgical notes were reviewed from 2003 to 2016. RESULTS:116 procedures were pe...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-018-4238-0
更新日期：2018-04-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830100686
更新日期：2002-03-01 00:00:00
abstract：PURPOSE:The optimal management of simple hepatic cysts (SHCs) remains controversial. A retrospective review was carried out to evaluate the clinical presentation and surgical consideration of children with SHCs and outcome of management at our institution. METHODS:We performed a retrospective review of all patients di...
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doi：10.1007/s00383-014-3509-7
更新日期：2014-06-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-003-1063-9
更新日期：2003-12-01 00:00:00
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doi：10.1007/s00383-004-1147-1
更新日期：2004-03-01 00:00:00
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pub_type： 杂志文章,评审
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更新日期：2017-04-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
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更新日期：2004-07-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s003830050271
更新日期：1998-03-01 00:00:00
abstract：INTRODUCTION:Bladder Bowel Dysfunction (BBD) has been described in patients with Down's Syndrome (DS). Our aim was to report the incidence, demographics, presentation, complications and management of the bladder in DS patients with BBD. METHODS:A systematic review was performed using PRISMA guidelines and search terms...
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pub_type： 杂志文章
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更新日期：2020-07-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
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journal_title：Pediatric surgery international
pub_type： 杂志文章
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更新日期：2008-08-01 00:00:00
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journal_title：Pediatric surgery international
pub_type： 杂志文章
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更新日期：2021-01-01 00:00:00
abstract：PURPOSE:Experience with male cloaca (MC), a single opening in perineum for passage of urine and meconeum is described. METHODS:Cases of MC were ambispectively studied, prospectively from July 2007 to April 2015 and retrospectively for last three decades. RESULTS:Seven cases of MC were identified, between the ages of ...
journal_title：Pediatric surgery international
pub_type： 杂志文章
doi：10.1007/s00383-015-3738-4
更新日期：2015-08-01 00:00:00
