DOES THE WANGENSTEEN X-RAY EXAMINATION ALWAYS REVEAL US ALL THE SIGNS OF RECTAL ATRESIA?

Purpose. To evaluate the diagnostic value of X-ray Wangensteen examination in case of rectal atresia in newborns.Materials and Methods. 27 newborns were examined: with a simple form atresia (11), with a rectovestibular fistula (9) andwith rectoperineal fistula (7). In all cases Wangensteen X-ray exa...

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Main Authors: M. G. Chepurnoy, G. I. Chepurnoy, V. B. Katsupeev, O. L. Matveev, A. P. Salamaha
Format: Article
Language:English
Published: State Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian Federation 2014-03-01
Series:Медицинский вестник Юга России
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Online Access:https://www.medicalherald.ru/jour/article/view/230
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author M. G. Chepurnoy
G. I. Chepurnoy
V. B. Katsupeev
O. L. Matveev
A. P. Salamaha
author_facet M. G. Chepurnoy
G. I. Chepurnoy
V. B. Katsupeev
O. L. Matveev
A. P. Salamaha
author_sort M. G. Chepurnoy
collection DOAJ
description Purpose. To evaluate the diagnostic value of X-ray Wangensteen examination in case of rectal atresia in newborns.Materials and Methods. 27 newborns were examined: with a simple form atresia (11), with a rectovestibular fistula (9) andwith rectoperineal fistula (7). In all cases Wangensteen X-ray examination was applied.Results. In 15% of cases Wangensteen examination failed to diagnose the level of rectal atresia. In cases of rectal atresia’sassociation with rectovestibular and rectoperineal fistulas, authors suggest to replace Wangensteen examination with irrigography, after fistula’s bouginage and meconium releasing from rectum. Such an examination shows an absolutely true signs of atresia’slevel, so the surgeon can choose an appropriate surgical method of atresia’s treatment.Conclusion. In rectal atresia diagnostics X-ray Wangensteen examination showed false results in 15% of cases. In the presenceof low fistula types of atresia it’s rational to begin the treatment from fistula’s dilation by bouginage and following trans-fistulairrigography.
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spelling doaj-art-564ffd82487b45e89c38a2c7d01b36b12025-07-03T16:13:36ZengState Budget Educational Institute of Higher Professional Education, Rostov State Medical University, Ministry Health of Russian FederationМедицинский вестник Юга России2219-80752618-78762014-03-010111011110.21886/2219-8075-2014-1-110-111229DOES THE WANGENSTEEN X-RAY EXAMINATION ALWAYS REVEAL US ALL THE SIGNS OF RECTAL ATRESIA?M. G. Chepurnoy0G. I. Chepurnoy1V. B. Katsupeev2O. L. Matveev3A. P. Salamaha4Rostov State Medical UniversityRostov State Medical UniversityRostov State Medical UniversityRostov State Medical UniversityRostov State Medical UniversityPurpose. To evaluate the diagnostic value of X-ray Wangensteen examination in case of rectal atresia in newborns.Materials and Methods. 27 newborns were examined: with a simple form atresia (11), with a rectovestibular fistula (9) andwith rectoperineal fistula (7). In all cases Wangensteen X-ray examination was applied.Results. In 15% of cases Wangensteen examination failed to diagnose the level of rectal atresia. In cases of rectal atresia’sassociation with rectovestibular and rectoperineal fistulas, authors suggest to replace Wangensteen examination with irrigography, after fistula’s bouginage and meconium releasing from rectum. Such an examination shows an absolutely true signs of atresia’slevel, so the surgeon can choose an appropriate surgical method of atresia’s treatment.Conclusion. In rectal atresia diagnostics X-ray Wangensteen examination showed false results in 15% of cases. In the presenceof low fistula types of atresia it’s rational to begin the treatment from fistula’s dilation by bouginage and following trans-fistulairrigography.https://www.medicalherald.ru/jour/article/view/230wangensteen examinationrectal atresia
spellingShingle M. G. Chepurnoy
G. I. Chepurnoy
V. B. Katsupeev
O. L. Matveev
A. P. Salamaha
DOES THE WANGENSTEEN X-RAY EXAMINATION ALWAYS REVEAL US ALL THE SIGNS OF RECTAL ATRESIA?
Медицинский вестник Юга России
wangensteen examination
rectal atresia
title DOES THE WANGENSTEEN X-RAY EXAMINATION ALWAYS REVEAL US ALL THE SIGNS OF RECTAL ATRESIA?
title_full DOES THE WANGENSTEEN X-RAY EXAMINATION ALWAYS REVEAL US ALL THE SIGNS OF RECTAL ATRESIA?
title_fullStr DOES THE WANGENSTEEN X-RAY EXAMINATION ALWAYS REVEAL US ALL THE SIGNS OF RECTAL ATRESIA?
title_full_unstemmed DOES THE WANGENSTEEN X-RAY EXAMINATION ALWAYS REVEAL US ALL THE SIGNS OF RECTAL ATRESIA?
title_short DOES THE WANGENSTEEN X-RAY EXAMINATION ALWAYS REVEAL US ALL THE SIGNS OF RECTAL ATRESIA?
title_sort does the wangensteen x ray examination always reveal us all the signs of rectal atresia
topic wangensteen examination
rectal atresia
url https://www.medicalherald.ru/jour/article/view/230
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