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THE "RECTO-SIGMOID INDEX"

A MEASUREMENT FOR THE EARLY DIAGNOSIS OF HIRSCHSPRUNG’S DISEASE

RUBEM POCHACZEVSKY M.D. and JOHN C. LEONIDAS M.D.

The "Recto-Sigmoid Index" is an objective measurement which may prove to be useful in the early diagnosis of Hirschsprung’s disease in the newborn, particularly in those cases where a colonic transition segment is not readily apparent or where its presence is questionable.

On the basis of our current case material, a "Recto-Sigmoid Index" higher than 1 may indicate a normal colon or a condition mimicking Hirschsprung’s disease, such as meconium plug syndrome.


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