The barium-enema examination and rectal manometry in Hirschsprung disease.
Barium-enema studies and rectal manometry were clearly shown complementary in diagnosing Hirschsprung disease. Of 27 patients studied, 19 had positive barium-enema and rectal manometric studies and were proved histologically to have Hirschsprung disease. Three had positive barium-enemas but normal rectal manometric studies in the first 10 days of life; later manometric studies were positive, and all 3 were subsequently proved to have Hirschsprung disease. Three patients had negative barium-enema and positive manometric studies and were proved to have low segment Hirschsprung disease. If both studies indicate the disease, rectal biopsy is not necessary before surgery.
D001466:Barium Sulfate; D002675:Child, Preschool; D004733:Enema; D005069:Evaluation Studies as Topic; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008365:Manometry; D008531:Megacolon / Q000175:diagnosis* / Q000503:physiopathology; D012007:Rectum / Q000503:physiopathology*
D001466:Barium Sulfate