Obstrucción intestinal de debut tardío
- E. Cid París
- G. Galicia Poblet
- Gema Arriola Pereda
- M.E. Rubio Jiménez
- M. Pangua Gómez
- Ana Serrano González
- J. M. Jiménez Bustos
ISSN: 0034-947X
Year of publication: 2010
Volume: 66
Issue: 3
Pages: 193-196
Type: Article
More publications in: Revista española de pediatría: clínica e investigación
Abstract
Hirschsprung's disease is a congenital disorder of the colon in which certain nerve cells, known as ganglion cells, are absent, causing chronic constipation. A barium enema is the mainstay of diagnosis of Hirschsprung's, though a rectal biopsy showing the lack of ganglion cells is the only certain method of diagnosis. The usual treatment is excision of the aganglionic colon and "pull-through" surgery of ganglionic colon with a coloanal anastomosis. We report a case of Hirschsprung's disease with bowel obstruction in the infant period.
Bibliographic References
- De Manueles J. Enfermedad de Hirschsprung. Asociación Española de Pediatría 2008. 6: 56-61
- Facer P, Knowles CH, Thomas PK, et al. Decreased tyrosine kinase C expression may reflect developmental abnormalities in Hirschsprung's disease and idiopathic slow-transit constipation. Br J Surg 2001; 88: 545-52.
- Liu CP, Li XG, Lou JT, et al. Association analysis of the PHOX2B gene with Hirschsprung disease in the Han Chinese population of Southeastern China. J Pediatr Surg 2009; 44: 1805-11.
- De Pontual L, Zaghloul NA, Thomas S, et al. Epistasis between RET and BBS mutations modulates enteric inervation and causes syndromic Hirschsprung disease. Proc Natl Acad Sci U S A 2009. 106: 13921-6
- Karaca I, Turk E, Ortac R, el al. Waardenburg síndrome with extended aganglionosis: report of 3 new cases. J Pediatr Surg 2009; 44: E9-13.
- Lorijn F, Kremer LC, Reitsma JB, et al. Diagnostic tests in Hirschsprung disease: a systematic review. J Pediatr Gastroenterol Nutr 2006; 42:496-505.
- Guinard V, Bonnard A, De Lagausie P. Calretinin inmunohistochemistry: a Simple and efficient tool to diagnose Hirschsprung disease. Mod Pathol 2009; 22: 1379-84.
- Kuyk EM, Brugman-Boezeman AT, Wissink-Essink M, et al. Defecation problems in children with Hirschsprung's disease: a prospective controlled study of a multidisciplinary behavioural treatment. Acta Paediatr 2001; 90:1153-9.