지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2014.1
- 수록면
- 157 - 161 (5page)
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초록· 키워드
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Purpose: The term benign transient non-organic ileus of neonates (BTNIN) is applied to neonates who present symptoms and plain radiographic findings of Hirschsprung’s disease, but do not have aganglionic bowel and are managed well by conservative treatment. It can often be difficult to diagnose BTNIN because its initial symptoms are similar to those of Hirschsprung’s disease. The aim of this study is to evaluate the clinical characteristics and proper treatment of BTNIN. Materials and Methods: A retrospective review was made on the clinical data of 19 neonates who were treated for BTNIN between January 2008 and December 2011 at a single facility. Results: Abdominal distension occurred in every patient (19/19). Other common symptoms included emesis (5/19), explosive defecation (5/19), and constipation (4/19). The vast majority of patients (15/19) experienced the onset of symptoms between 2 and 4 weeks of age. Radiograph findings from all of the patients were similar to Hirschsprung’s disease. A barium study showed a transition zone in 33.4% (6/18) of the patients. However, rectal biopsy revealed ganglion cells in the distal rectum in 88.2% (15/17) of the patients, and anorectal manometry showed a normal rectoanal inhibitory reflex in 90% (9/10). All patients responded well to conservative treatment. Symptoms disappeared at the mean age of 4.9±1.0 months, and the abdominal radiographs normalized. Conclusion: BTNIN had an excellent outcome with conservative treatment, and must be differentiated from Hirschsprung’s disease. A rectal biopsy and anorectal manometry were useful diagnostic tools in the differential diagnosis.
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참고문헌 (13)
참고문헌 신청
Burki T / 2011 / Neonatal functional intestinal obstruction and the presence of severely immature ganglion cells on rectal biopsy: 6 year experience / Pediatr Surg Int 27 :
Dasgupta R / 2005 / Transanal pull-through for Hirschsprung disease / Semin Pediatr Surg 14 : 64 ~ 71
Haricharan RN / 2008 / Hirschsprung disease / Semin Pediatr Surg 17 : 266 ~ 275
Jamieson DH / 2004 / Does the transition zone reliably delineate aganglionic bowel in Hirschsprung’s disease? / Pediatr Radiol 34 : 811 ~ 815
Jarvinen KM / 2001 / Development of cow’s milk allergy in breast-fed infants / Clin Exp Allergy 31 : 978 ~ 987
Dasgupta R / 2005 / Transanal pull-through for Hirschsprung disease / Semin Pediatr Surg 14 : 64 ~ 71
Haricharan RN / 2008 / Hirschsprung disease / Semin Pediatr Surg 17 : 266 ~ 275
Jamieson DH / 2004 / Does the transition zone reliably delineate aganglionic bowel in Hirschsprung’s disease? / Pediatr Radiol 34 : 811 ~ 815
Jarvinen KM / 2001 / Development of cow’s milk allergy in breast-fed infants / Clin Exp Allergy 31 : 978 ~ 987
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