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Is Barium Enema Reliable for the Diagnosis of Total Colonic Aganglionosis?
전대장무신경절증의 진단에 바륨대장조영술은 믿을 만한 검사인가?
JKAPS 2018 Jun;24(1):10-3
Published online June 30, 2018;  https://doi.org/10.13029/jkaps.2018.24.1.10
Copyright © 2018 Korean Association of Pediatric Surgeons.

Ju Yeon Lee1, Dae Yeon Kim2, Jeong Rye Kim3, Jung-Man Namgoong2, Seong Chul Kim2
이주연1, 김대연2, 김정례3, 남궁정만2, 김성철2

1Department of Pediatric Surgery, Chonnam National University Children’s Hospital, Chonnam National University School of Medicine, Gwangju, 2Department of Pediatric Surgery, Asan Medical Center Children’s Hospital, University of Ulsan College of Medicine, Seoul, 3Department of Radiology and Research Institute of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
1전남대학교 의과대학 전남대학교어린이병원 소아외과학교실, 2울산대학교 의과대학 서울아산병원 어린이병원 소아외과학교실, 3울산대학교 의과대학 서울아산병원 영상의학교실
Received February 9, 2018; Revised May 23, 2018; Accepted May 25, 2018.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: Barium enema is one of the diagnostic modalities for Hirschsprung’sdisease. The present study aimed to investigate the diagnostic accuracy of barium enema for Hirschsprung’s disease, especially total colonic aganglionosis (TCA).
Methods: We retrospectively reviewed the medical records of all the patients who were diagnosed as having TCA and underwent a barium enema in Asan Medical Center Children’s Hospital between January 1998 and December 2016. All the tests were performed and reviewed by pediatric radiologists.
Results: Among the total 19 patients with TCA who underwent barium enema, 9 patients (47.4%) had accurate radiographic results. Eight of the 13 neonate patients (61.5%) showed typical TCA radiological findings. However, only one of the 6 patients aged >4 weeks (16.7%) had accurate radiological diagnosis.
Conclusion: Barium enema showed low accuracy for TCA, and its diagnostic performance was better in neonatal period than in those aged >4 weeks.
Keywords : Hirschsprung disease, Barium enema

 

June 2018, 24 (1)