title: Clinical application of entire gastrointestinal barium meal combined with multi-temporal abdominal films in patients with intestinal neuronal dysplasia type B.
abstract: OBJECTIVE
  To report and evaluate the application of entire gastrointestinal barium meal combined with multi-temporal abdominal films in the diagnosis of patients with intestinal neuronal dysplasia type B (IND type B).
  
  
  METHODS
  Thirty-six patients with symptoms of long-standing constipation were enrolled in this study. The study took place at the Department of General Surgery, Xiangyang Central Hospital, Hubei Province, China from July 2007 to October 2012. All of them had already been subjected to the tests of barium enema and anorectal manometry and were suspected to be IND type B, but were not confirmed by mucous membrane acetylcholinesterase determination. All underwent the entire gastrointestinal barium meal combined with multi-temporal abdominal films. The data was collected and then analyzed retrospectively.
  
  
  RESULTS
  After entire gastrointestinal barium meal combined with multi-temporal abdominal films, 30 out of 36 cases in this group were diagnosed with intestinal neuronal diseases, and then were treated with appropriate surgical treatment. The postoperative pathological diagnosis was IND type B. The other 6 patients in this group still could not be diagnosed explicitly after the test; thus, we treated them with conservative treatment.
  
  
  CONCLUSIONS
  Entire gastrointestinal barium meal combined with multi-temporal abdominal films has the advantage of being able to test the gastrointestinal transfer capabilities and to find physiological and pathological changes simultaneously. It could provide important proof for the diagnosis of patients with intestinal neuronal dysplasia type B.
authors.affiliation: Department of General Surgery, Xiangyang Central Hospital, Hubei Province, China.
authors.forename: Xiao-Yun
authors.initials: XY
authors.lastname: Li
authors.forename: Xiao-Gang
authors.initials: XG
authors.lastname: Li
authors.forename: Ming-Guo
authors.initials: MG
authors.lastname: Du
authors.forename: Zhi-Dan
authors.initials: ZD
authors.lastname: Chen
authors.forename: Zheng-Gui
authors.initials: ZG
authors.lastname: Tao
authors.forename: Xiao-Feng
authors.initials: XF
authors.lastname: Liao
mesh_terms: D000293:Adolescent; D001464:Barium / Q000008:administration & dosage*; D002648:Child; D017615:Enteric Nervous System / Q000000981:diagnostic imaging* / Q000473:pathology; D006801:Humans; D007410:Intestinal Diseases / Q000000981:diagnostic imaging* / Q000473:pathology; D011860:Radiography, Abdominal
chemical_list: D001464:Barium