دورية أكاديمية

Comparison of Barium Enema and frozen section results in the diagnosis of Hirschsprung's Disease in a tertiary care hospital at Aceh, Indonesia.

التفاصيل البيبلوغرافية
العنوان: Comparison of Barium Enema and frozen section results in the diagnosis of Hirschsprung's Disease in a tertiary care hospital at Aceh, Indonesia.
المؤلفون: Rizky M; Universitas Syiah Kuala/Dr. Zainoel Abidin General Hospital, Faculty of Medicine, Department of Surgery, Aceh, Indonesia. muhammadrizky.dr@gmail.com., Isa MM; Universitas Syiah Kuala/Dr. Zainoel Abidin General Hospital, Faculty of Medicine, Pediatric Surgery Division, Department of Surgery, Aceh, Indonesia., Kamarlis RK; Universitas Syiah Kuala/Dr. Zainoel Abidin General Hospital, Faculty of Medicine, Department of Pathology Anatomy, Aceh, Indonesia.
المصدر: The Medical journal of Malaysia [Med J Malaysia] 2020 May; Vol. 75 (Suppl 1), pp. 37-40.
نوع المنشور: Comparative Study; Journal Article
اللغة: English
بيانات الدورية: Publisher: Malaysian Medical Association Country of Publication: Malaysia NLM ID: 0361547 Publication Model: Print Cited Medium: Internet ISSN: 0300-5283 (Print) Linking ISSN: 03005283 NLM ISO Abbreviation: Med J Malaysia Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Kuala Lumpur : Malaysian Medical Association
مواضيع طبية MeSH: Barium Enema* , Frozen Sections*, Hirschsprung Disease/*diagnostic imaging, Cross-Sectional Studies ; Female ; Humans ; Indonesia ; Infant ; Male ; Tertiary Care Centers
مستخلص: Introduction: Hirschsprung's Disease (HD) also called congenital aganglionic megacolon is a disorder caused by undeveloped distal to proximal intestinal nerve ganglion cells. Diagnosis includes determining the aganglionic segment through barium enema radiology examination and histopathology of frozen section with permanent section as gold standard. Determining the diagnostic value of this modality is important for operative management decision.
Materials and Methods: The study was a retrospective, cross-sectional study with diagnostic test design. Patient data were obtained in the form of clinical symptoms, barium enema, and frozen section expertise were assessed for the suitability of the diagnostic value by referring to the permanent section as the gold standard.
Result: Thirty-four patient data were obtained. The sensitivity, specificity, and accuracy of barium enemas were 95%, 69.2%, and 82%, respectively. The values of sensitivity, specificity, and accuracy of frozen section were 95%, 92.8%, and 88%, respectively. The Cohen-Kappa statistic value was 0.62 (good agreement).
Conclusion: Accuracy of FS is better than barium enema in diagnosing HD. In health care center with limitation of histopathological facility, BE could be used as the alternative procedure as interrater comparisons showed good agreement. Therefore, either frozen section or barium enema can be carried out in common or in separate term.
تواريخ الأحداث: Date Created: 20200531 Date Completed: 20210823 Latest Revision: 20210823
رمز التحديث: 20240628
PMID: 32471967
قاعدة البيانات: MEDLINE