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Short-segment aganglionic megacolon

MedGen UID:
869014
Concept ID:
C4023431
Congenital Abnormality
HPO: HP:0011284

Definition

A type of aganglionic megacolon in which the aganglionic segment does not extend beyond the upper sigmoid. [from HPO]

Term Hierarchy

Conditions with this feature

PCWH syndrome
MedGen UID:
373160
Concept ID:
C1836727
Disease or Syndrome
PCWH syndrome is a complex neurocristopathy that includes features of 4 distinct syndromes: peripheral demyelinating neuropathy (see 118200), central dysmyelination, Waardenburg syndrome, and Hirschsprung disease (see 142623) (Inoue et al., 2004). Inoue et al. (2004) proposed the acronym PCWH for this disorder.
Visceral neuropathy, familial, 2, autosomal recessive
MedGen UID:
1794160
Concept ID:
C5561950
Disease or Syndrome
Autosomal recessive visceral neuropathy-2 (VSCN2) is characterized by intestinal dysmotility due to aganglionosis or hypoganglionosis of the colon. Patients also exhibit peripheral axonal neuropathy, ptosis, and sensorineural hearing loss (Le et al., 2021). For a discussion of genetic heterogeneity of VSCN, see VSCN1 (243180).

Professional guidelines

PubMed

Huang SG, Qian XS, Cheng Y, Guo WL, Zhou ZY, Dai YK
J Pediatr Surg 2021 Oct;56(10):1711-1717. Epub 2021 May 24 doi: 10.1016/j.jpedsurg.2021.05.006. PMID: 34120738
Kawaguchi AL, Guner YS, Sømme S, Quesenberry AC, Arthur LG, Sola JE, Downard CD, Rentea RM, Valusek PA, Smith CA, Slidell MB, Ricca RL, Dasgupta R, Renaud E, Miniati D, McAteer J, Beres AL, Grabowski J, Peter SDS, Gosain A; American Pediatric Surgical Association Outcomes and Evidence-Based Practice (OEBP) Committee
J Pediatr Surg 2021 Sep;56(9):1513-1523. Epub 2021 Mar 28 doi: 10.1016/j.jpedsurg.2021.03.046. PMID: 33993978Free PMC Article
Wang XJ, Camilleri M
Neurogastroenterol Motil 2019 Nov;31(11):e13732. doi: 10.1111/nmo.13732. PMID: 31609069

Recent clinical studies

Etiology

Zhang X, Sun D, Xu Q, Liu H, Li Y, Wang D, Wang J, Zhang Q, Hou P, Mu W, Jia C, Li A
Int J Surg 2023 Aug 1;109(8):2509-2524. doi: 10.1097/JS9.0000000000000473. PMID: 37288551Free PMC Article
Xiao J, Hao LW, Wang J, Yu XS, You JY, Li ZJ, Mao HD, Meng XY, Feng JX
World J Pediatr 2023 Jul;19(7):644-651. Epub 2023 Mar 1 doi: 10.1007/s12519-023-00686-x. PMID: 36857021Free PMC Article
Kawaguchi AL, Guner YS, Sømme S, Quesenberry AC, Arthur LG, Sola JE, Downard CD, Rentea RM, Valusek PA, Smith CA, Slidell MB, Ricca RL, Dasgupta R, Renaud E, Miniati D, McAteer J, Beres AL, Grabowski J, Peter SDS, Gosain A; American Pediatric Surgical Association Outcomes and Evidence-Based Practice (OEBP) Committee
J Pediatr Surg 2021 Sep;56(9):1513-1523. Epub 2021 Mar 28 doi: 10.1016/j.jpedsurg.2021.03.046. PMID: 33993978Free PMC Article
Sarioglu A, Tanyel FC, Büyükpamukçu N, Hiçsönmez A
Eur J Pediatr Surg 1997 Dec;7(6):331-7. doi: 10.1055/s-2008-1071186. PMID: 9493983
Pfeifer J, Agachan F, Wexner SD
Dis Colon Rectum 1996 Apr;39(4):444-60. doi: 10.1007/BF02054062. PMID: 8878507

Diagnosis

Zhang X, Sun D, Xu Q, Liu H, Li Y, Wang D, Wang J, Zhang Q, Hou P, Mu W, Jia C, Li A
Int J Surg 2023 Aug 1;109(8):2509-2524. doi: 10.1097/JS9.0000000000000473. PMID: 37288551Free PMC Article
Kapur RP, Ambartsumyan L, Smith C
Pediatr Dev Pathol 2020 Jan-Feb;23(1):60-71. Epub 2019 Nov 20 doi: 10.1177/1093526619889434. PMID: 31747832
Wang XJ, Camilleri M
Neurogastroenterol Motil 2019 Nov;31(11):e13732. doi: 10.1111/nmo.13732. PMID: 31609069
Moore SW
Pediatr Surg Int 2015 Jan;31(1):1-9. Epub 2014 Oct 31 doi: 10.1007/s00383-014-3634-3. PMID: 25367097
Sarioglu A, Tanyel FC, Büyükpamukçu N, Hiçsönmez A
Eur J Pediatr Surg 1997 Dec;7(6):331-7. doi: 10.1055/s-2008-1071186. PMID: 9493983

Therapy

Lu C, Pan S, Hua X, Jiang W, Tang W
Eur J Pediatr 2023 Mar;182(3):1251-1259. Epub 2023 Jan 12 doi: 10.1007/s00431-023-04814-7. PMID: 36633657
Westfal ML, Okiemy O, Chung PHY, Feng J, Lu C, Miyano G, Tam PKH, Tang W, Wong KKY, Yamataka A, Guyer RA, Doody DP, Goldstein AM
J Pediatr Surg 2022 Apr;57(4):719-725. Epub 2021 Jul 21 doi: 10.1016/j.jpedsurg.2021.07.007. PMID: 34330420Free PMC Article
Gunadi, Ivana G, Mursalin DA, Pitaka RT, Zain MW, Puspitarani DA, Afandy D, Simanjaya S, Dwihantoro A, Makhmudi A
BMC Gastroenterol 2021 Feb 23;21(1):85. doi: 10.1186/s12876-021-01668-x. PMID: 33622253Free PMC Article
Parahita IG, Makhmudi A, Gunadi
J Pediatr Surg 2018 Jul;53(7):1351-1354. Epub 2017 Jul 17 doi: 10.1016/j.jpedsurg.2017.07.010. PMID: 28755898
Aubdoollah TH, Li K, Zhang X, Li S, Yang L, Lei HY, Dolo PR, Xiang XC, Cao GQ, Wang GB, Tang ST
World J Gastroenterol 2015 Aug 7;21(29):8903-11. doi: 10.3748/wjg.v21.i29.8903. PMID: 26269680Free PMC Article

Prognosis

Zhang X, Sun D, Xu Q, Liu H, Li Y, Wang D, Wang J, Zhang Q, Hou P, Mu W, Jia C, Li A
Int J Surg 2023 Aug 1;109(8):2509-2524. doi: 10.1097/JS9.0000000000000473. PMID: 37288551Free PMC Article
Gunadi, Kalim AS, Iskandar K, Marcellus, Puspitarani DA, Diposarosa R, Makhmudi A, Astuti GDN
J Pediatr Surg 2023 Apr;58(4):723-728. Epub 2022 Nov 25 doi: 10.1016/j.jpedsurg.2022.11.011. PMID: 36586783
Kapur RP, Ambartsumyan L, Smith C
Pediatr Dev Pathol 2020 Jan-Feb;23(1):60-71. Epub 2019 Nov 20 doi: 10.1177/1093526619889434. PMID: 31747832
Wang J, Du H, Mou YR, Niu JY, Zhang WT, Yang HC, Li AW
World J Gastroenterol 2015 Jun 21;21(23):7172-80. doi: 10.3748/wjg.v21.i23.7172. PMID: 26109803Free PMC Article
Sarioglu A, Tanyel FC, Büyükpamukçu N, Hiçsönmez A
Eur J Pediatr Surg 1997 Dec;7(6):331-7. doi: 10.1055/s-2008-1071186. PMID: 9493983

Clinical prediction guides

Liu Z, Zhang Y, Li S, Zhao J, Yang T, Huang J
Pediatr Surg Int 2023 Aug 29;39(1):255. doi: 10.1007/s00383-023-05517-8. PMID: 37642732
Gunadi, Kalim AS, Iskandar K, Marcellus, Puspitarani DA, Diposarosa R, Makhmudi A, Astuti GDN
J Pediatr Surg 2023 Apr;58(4):723-728. Epub 2022 Nov 25 doi: 10.1016/j.jpedsurg.2022.11.011. PMID: 36586783
Kapur RP, Ambartsumyan L, Smith C
Pediatr Dev Pathol 2020 Jan-Feb;23(1):60-71. Epub 2019 Nov 20 doi: 10.1177/1093526619889434. PMID: 31747832
Wang J, Du H, Mou YR, Niu JY, Zhang WT, Yang HC, Li AW
World J Gastroenterol 2015 Jun 21;21(23):7172-80. doi: 10.3748/wjg.v21.i23.7172. PMID: 26109803Free PMC Article
Moore SW
Pediatr Surg Int 2012 Nov;28(11):1045-58. Epub 2012 Sep 23 doi: 10.1007/s00383-012-3175-6. PMID: 23001136

Recent systematic reviews

Zhang X, Sun D, Xu Q, Liu H, Li Y, Wang D, Wang J, Zhang Q, Hou P, Mu W, Jia C, Li A
Int J Surg 2023 Aug 1;109(8):2509-2524. doi: 10.1097/JS9.0000000000000473. PMID: 37288551Free PMC Article
Kawaguchi AL, Guner YS, Sømme S, Quesenberry AC, Arthur LG, Sola JE, Downard CD, Rentea RM, Valusek PA, Smith CA, Slidell MB, Ricca RL, Dasgupta R, Renaud E, Miniati D, McAteer J, Beres AL, Grabowski J, Peter SDS, Gosain A; American Pediatric Surgical Association Outcomes and Evidence-Based Practice (OEBP) Committee
J Pediatr Surg 2021 Sep;56(9):1513-1523. Epub 2021 Mar 28 doi: 10.1016/j.jpedsurg.2021.03.046. PMID: 33993978Free PMC Article
Coyle D, Friedmacher F, Puri P
Pediatr Surg Int 2014 Aug;30(8):751-6. Epub 2014 Jun 28 doi: 10.1007/s00383-014-3538-2. PMID: 24972642

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