Presentation
A case is presented of Churg-Strauss syndrome in a young man in whom the definitive diagnostic procedure was a full thickness sigmoidoscopic rectal biopsy, with submucosal sampling. [ncbi.nlm.nih.gov]
Entire Body System
- Pathologist
RESULTS: The three pathologists agreed completely with respect to the diagnosis Hirschsprung's disease (kappa = 1), but in only 14% of the children without aganglionosis. [ncbi.nlm.nih.gov]
- Chills
If you experience signs of infection such as fever and chills within a few days of the procedure, notify your physician immediately or go to the nearest hospital emergency department. [radiologyinfo.org]
- Rigor
However, as these procedures were not rigorously assessed, we cannot compare them we the ones used in the present study. [bmcgastroenterol.biomedcentral.com]
Gastrointestinal
- Vomiting
[…] unless any of the following clinical features of Hirschsprung s disease are or have been present: delayed passage of meconium (more than 48 hours after birth in term babies); constipation since first few weeks of life; chronic abdominal distension plus vomiting [nice.org.uk]
A clinical history of delayed passage of meconium beyond 48 hours after birth, physical exam findings of abdominal distention and vomiting, and a contrast enema demonstrating a transition zone are highly suggestive of HD. [ncbi.nlm.nih.gov]
Signs and symptoms of a bowel obstruction include vomiting, pain and abdominal distension. Your child needs to be treated quickly if these symptoms occur. [chop.edu]
Clinical manifestations may include nausea, vomiting, diarrhea, constipation and abdominal pain. [ghrnet.org]
- Rectal Bleeding
As controls, rectal specimens from 13 patients (7 women and 6 men) with rectal bleeding caused by haemorrhoids or polyps were included. [ncbi.nlm.nih.gov]
bleeding a feature of UC but initial presentation is usually with non bloody diarheaa UC can occur anywhere in the lower bowel, from rectum to entire colon...CD: most common location is ileum and ascending colon. [plabking.blogspot.com]
This disorder may present with either rectal bleeding or bloody diarrhea. [healio.com]
Alternative Names Biopsy - rectum; Rectal bleeding - biopsy; Rectal polyps - biopsy; Amyloidosis - rectal biopsy; Crohn disease - rectal biopsy; Colorectal cancer - biopsy; Hirschsprung disease - rectal biopsy How the Test is Performed A rectal biopsy [ufhealth.org]
- Nausea
RESULTS: Consecutive suspected GI-GVHD patients with watery diarrhea (11 men and 5 women, mean age: 45.6 years, coexistent symptoms: nausea [38%] and exanthema [69%]) were enrolled. [ncbi.nlm.nih.gov]
Clinical manifestations may include nausea, vomiting, diarrhea, constipation and abdominal pain. [ghrnet.org]
Rarely, patients may experience side effects from the MR contrast material, including nausea and local pain, hives, itchy eyes or other reactions. [radiologyinfo.org]
Urogenital
- Urinary Retention
Occasionally, patients have problems with urinary retention and an inability to urinate after rectal biopsy. Alternative Names Biopsy - rectum [dxline.info]
It is also possible that some patients may have problems with urinary retention after rectal biopsy. Back to the top FAQs How will the test feel? You may experience a little bit of pressure during the procedure and may even feel an urge to defecate. [beverlyhills.ph]
- Hematuria
The patient developed hematuria and dysuria several days after admission. Cystoscopy revealed moderate trabeculation of the bladder indicative of obstructive uropathy with no stones seen. [ghrnet.org]
Workup
We recommend a barium enema as a routine initial workup in the management of patients of suspected Hirschsprung’s disease. [scopemed.org]
This case specifically demonstrates the utility of a full thickness rectal biopsy to provide the diagnosis when extensive diagnostic workup and therapeutic trials had failed. [ghrnet.org]
Treatment
In conclusion, computerised morphometry is valuable for the assessment of the treatment of patients with ulcerative colitis and that in the doses used both treatments were of similar efficacy. [ncbi.nlm.nih.gov]
Do not perform manual evacuation of the bowel under anaesthesia unless optimum treatment with oral and rectal medications has failed. Do not use dietary interventions alone as first-line treatment for idiopathic constipation. [nice.org.uk]
The ability of a microbicide treatment to suppress p24 in the ex-vivo assay is an indication of treatment efficacy, where lower concentrations of p24 indicate virus suppression. [journals.plos.org]
Prognosis
Therefore, an earlier accurate diagnosis of macroscopic and microscopic features using an appropriate modality improves the prognosis of patients with suspected GI-GVHD. [ncbi.nlm.nih.gov]
Prognosis of node–positive colorectal cancer. Cancer 1991; 67: 1859–61. [ Links ] 3. Malassagne B, Valleur P, Serra J, et al. Relationship of apycal node involvement to survival in resected colon carcinoma. [scielo.org.mx]
This approach also serves as a sensitive test to predict the prognosis when rare CFTR mutations are not identified by standard screening tests [ 12, 14, 16 ]. [bmcgastroenterol.biomedcentral.com]
"Hirschsprung's disease in cartilage-hair hypoplasia has poor prognosis". J Pediatr Surg. 37 (11): 1585–8. doi : 10.1053/jpsu.2002.36189. [en.wikipedia.org]
Etiology
We identified two patients: an 11-year-old boy (P1) with new-onset bulbar weakness and parkinsonism and a 15-year-old boy (P2) with severe cognitive and motor deterioration of uncertain etiology who presented at 4 years of age with a gait disturbance [ncbi.nlm.nih.gov]
Etiological considerations and surgical management in 22 cases. Arch Surg, 1978; 113:159-163 431. Pagina 311 - Kosloske AM, Martin LW, Schubert WK. Management of chylothorax in children by thoracentesis and medium-chain triglyceride feedings. [books.google.ro]
While the etiology remains controversial, it is thought to be associated with stasis caused by the functional obstruction, resulting in bacterial overgrowth with secondary infection. [sages.org]
Diagnostic paracentesis showed a normal cell count and a serum ascites albumin gradient of 0.6, consistent with a non-portal hypertensive etiology. Cultures were negative including acid-fast bacilli. [ghrnet.org]
immunohistochemical staining, and polymerase chain reaction assays demonstrate the presence of lymph node micrometastases in a significant proportion of patients whose nodes are negative by routine hematoxylin and eosin staining. 4– 6 Although the etiology [scielo.org.mx]
Epidemiology
"An epidemiological study of Hirschsprung's disease". Int J Epidemiol. 13 (4): 479–85. doi : 10.1093/ije/13.4.479. PMID 6240474. ^ Suita S, Taguchi T, Ieiri S, Nakatsuji T (2005). [en.wikipedia.org]
The epidemiology of gastroenteropancreatic neuroendocrine tumors. Endocrinol Metab Clin N Am. 2011;40:1-18. [ Links ] 7. Moore JR, Greenwell B, Nuckolls K, Schammel D, Schisler N, Schammel C, et al. [scielo.mec.pt]
Epidemiology Hirschsprung disease occurs at an approximate rate of 1 case per 5400-7200 newborns in the United States. [sages.org]
A 6 Epidemiology The cause of Hirschsprung’s disease is multifactorial, and the disease can be familial or develop spontaneously. 2 It is more common in boys than girls. 1 Approximately 3 to 5 percent of male siblings and 1 percent of female siblings [aafp.org]
Pathophysiology
Pathophysiology Hirschsprung disease is characterized by congenital aganglionosis of the distal bowel. The aganglionosis always involves the anus and extends proximally for a variable distance. [sages.org]
Pediatric gastrointestinal disease: pathophysiology, diagnosis, management. PMPH-USA. pp. 2120–. ISBN 978-1-55009-240-0. Retrieved 2010-11-12. ^ Timothy R. Koch (2003). Colonic diseases. Humana Press. pp. 387–. ISBN 978-0-89603-961-2. [en.wikipedia.org]
Gastrointestinal Disease: Pathophysiology, Diagnosis, Management. Philadelphia: W. B. Saunders Company, 1973, p. 1375. 5. Tuinor, J. A., et al. Amebiasis - A symposium, Calif. Med. 114 (1971), 44. 6. Helper, M-, and Ament, M. E. [healio.com]
In: Sleisenger & Fordtran’s Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 7th ed. Philadelphia, Pa.: Saunders, 2002:2131–5. 4. Stewart DR, von Allmen D. The genetics of Hirschsprung disease. [aafp.org]
Prevention
Rectal and colonic biopsies in 3 revealed granulomas and focal colitis supportive of the diagnosis of Crohn's disease and prevented laparotomy. [ncbi.nlm.nih.gov]
Doherty Lippincott Williams & Wilkins, 2006 - 826 من الصفحات This volume offers authoritative, evidence-based recommendations for preventing and managing complications in all current general surgery procedures. [books.google.com]
Precise suction providing a consistent specimen each procedure The specimen is captured in the front of the capsule after each biopsy No need for blade sharpening or capsule maintenance avoiding biopsy procedure failure No user contact with the blade preventing [medicalsearch.com.au]
C 17 Serial rectal irrigation should be performed before surgery to help prevent enterocolitis. C 6 Surgery is the recommended treatment for patients with Hirschsprung’s disease. [aafp.org]