J Korean Assoc Pediatr Surg.
2002 Jun;8(1):48-53.
Clinical Features and Diagnosis of Hirschsprung's Disease
- Affiliations
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- 1Division of Pediatric Surgery, Department of Surgery, Keimyung University Dongsan Medical Center, Daegu, Korea.
Abstract
- Diagnosing Hirschprungs disease (HD) is a clinical challenge to pediatric surgeons. The cardinal symptoms are failure of passage of meconium within first 24 hours of life, abdominal distension, and vomiting. The severity of these symptoms and the degree of consitpation vary considerably between patients. HD is suspected on the basis of history and clinical findings and the diagnosis is established by radiological examination, anorectal manometry, and histochemical analysis of biopsy specimens. In this review, the advantages and pitfalls of each diagnostic modality are discussed. And a diagnostic approach utilizing these diagnostic modalities in children with suspicious HD is presented.
