Transient Intestinal Ileus in Neonate: A Study of Comparison with Hirschsprung's Disease.
- Author:
Kwang Hae CHOI
1
Author Information
1. Department of Pediatrics, College of Medicine, Yeungnam University, Daegu, Korea. ckh@med.yu.ac.kr
- Publication Type:Original Article
- Keywords:
Neonate;
Transient intestinal ileus;
Hirschsprung's disease;
Arectal manometry
- MeSH:
Age of Onset;
Barium;
Biopsy;
Diagnosis, Differential;
Diagnostic Tests, Routine;
Enema;
Ganglion Cysts;
Hirschsprung Disease;
Humans;
Ileus;
Infant, Newborn;
Manometry;
Reflex;
Retrospective Studies;
Suction
- From:Korean Journal of Pediatric Gastroenterology and Nutrition
2009;12(2):194-198
- CountryRepublic of Korea
- Language:Korean
-
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.
