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Classification and diagnostic criteria of variants of Hirschsprung's disease.
[megacystis-microcolon-intestinal hypoperistalsis syndrome]
"
Variants
of
Hirschsprung
's
disease
"
are
conditions
that
clinically
resemble
Hirschsprung
's
disease
(
HD
)
,
despite
the
presence
of
ganglion
cells
in
rectal
suction
biopsies
.
The
diagnosis
and
management
of
these
patients
can
be
challenging
.
Specific
histological
,
immunohistochemical
and
electron
microscopic
investigations
are
required
to
characterize
this
heterogeneous
group
of
functional
bowel
disorders
.
Variants
of
HD
include
intestinal
neuronal
dysplasia
,
intestinal
ganglioneuromatosis
,
isolated
hypoganglionosis
,
immature
ganglia
,
absence
of
the
argyrophil
plexus
,
internal
anal
sphincter
achalasia
and
congenital
smooth
muscle
cell
disorders
such
as
megacystis
microcolon
intestinal
hypoperistalsis
syndrome
.
This
review
article
systematically
classifies
variants
of
HD
based
on
current
diagnostic
criteria
with
an
additional
focus
on
pathogenesis
,
epidemiology
,
clinical
presentation
,
management
and
outcome
.
Diseases
Validation
Diseases presenting
"rectal suction biopsies"
symptom
hirschsprung disease
megacystis-microcolon-intestinal hypoperistalsis syndrome
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