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Can the Diameter of Nerve Fibers Be Effectively Utilized to Enhance the Accuracy of Determining the Length of the Aganglionic Segment Compared to Intraoperative Biopsy in Patients With Hirschsprung’S Disease? Publisher Pubmed



Talebi A1 ; Kahdouei MT2 ; Memar EH3 ; Ashjaei B4 ; Raji H4 ; Adel MG4
Authors
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Authors Affiliations
  1. 1. Pediatric Disease Research Center, Guilan University of Medical Science, Rasht, Iran
  2. 2. Medical school, Tehran University of Medical Science, Tehran, Iran
  3. 3. Children’s Medical Center, Tehran University of Medical Science, Tehran, Iran
  4. 4. Department of Pediatric Surgery, Children’s Medical Center, Tehran University of Medical Science, Tehran, Iran

Source: BMC Research Notes Published:2024


Abstract

Objective: The aim of this study is to investigate the accuracy of utilizing neural fiber trunk diameter in accurately diagnosing the length of the aganglionic segment in patients definitively diagnosed with Hirschsprung’s disease. Results: In this study, 40 patients (19 males, 21 females; mean age 2.5 ± 2.2646 years) were assessed for Hirschsprung’s disease. Constipation was the main symptom (75%), followed by abdominal issues. All underwent contrast enema and rectal suction biopsy for diagnosis, followed by surgery (predominantly Soave and Swensen techniques). Majority (85%) had rectosigmoid involvement. Neural fiber diameter was measured, with 52.5% ≤40 μm and 47.5% >40 μm. Statistical analysis showed 40% sensitivity(CI:95%) and 47% specificity(CI:95%) with a cutoff of 40.5 μm. Cohen’s kappa index for aganglionic segment size was 0.7. © The Author(s) 2024.