Review of Isolated Hypoganglionosis and Presentation of a New Case Complicated With Sigmoid Volvulus

Sponsor
Dr. Ersin Arslan Education and Training Hospital (Other)
Overall Status
Completed
CT.gov ID
NCT04363125
Collaborator
Inonu University (Other)
310
1
15.6
19.9

Study Details

Study Description

Brief Summary

Isolated hypoganglionosis is rare and constitutes 3-5% of all congenital neurological bowel diseases. Since hypoganglionosis is associated with symptoms such as chronic constipation or pseudo-obstruction, it can be confused with Hirschprung's disease and it is important to make a differential diagnosis before treatment. Our aim in this study; In addition to sharing the rarely isolated hypoganglionosis and sigmoid volvulus in a 45-year-old male patient with mental retardation, the investigators present a systematic comprehensive review of hypoganglionosis.

Condition or Disease Intervention/Treatment Phase
  • Diagnostic Test: Pathology result

Detailed Description

Isolated hypoganglionosis is rare and constitutes 3-5% of all congenital neurological bowel diseases. Since hypoganglionosis is associated with symptoms such as chronic constipation or pseudo-obstruction, it can be confused with Hirschprung's disease and it is important to make a differential diagnosis before treatment. Our aim in this study; In addition to sharing the rarely isolated hypoganglionosis and sigmoid volvulus in a 45-year-old male patient with mental retardation, the investigators present a systematic comprehensive review of hypoganglionosis. Pubmed and Scopus databases were scanned. No restrictions were used in the written language. Only isolated cases of hypoganglionosis were added to the study. In the cases; author, year of publication, country of publication, age, gender, surgical or non-surgical treatments, treatment results, and mortalities were examined.

When sigmoid volvulus is seen in children and adolescents, congenital neurological bowel diseases should be considered in the differential diagnosis. Hirschprung's disease must be ruled out by rectal biopsy. The histopathological investigation should be carried out for the diagnosis and determination of surgical margins in isolated hypoganglionosis.

Study Design

Study Type:
Observational
Actual Enrollment :
310 participants
Observational Model:
Case-Only
Time Perspective:
Other
Official Title:
Systematic Review of Isolated Hypoganglionosis and Presentation of a New Case Complicated With Sigmoid Volvulus
Actual Study Start Date :
Jan 1, 2019
Actual Primary Completion Date :
Apr 1, 2020
Actual Study Completion Date :
Apr 20, 2020

Outcome Measures

Primary Outcome Measures

  1. Mortality [three months]

    Mortality of sigmoid volvulus due to isolated hypoganglionosis

Eligibility Criteria

Criteria

Ages Eligible for Study:
N/A and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • isolated hypoganglionosis

  • our case of isolated hypoganglionosis

Exclusion Criteria:
  • hypoganglionosis with Hirschsprung's disease

Contacts and Locations

Locations

Site City State Country Postal Code
1 Dr. Ersin Arslan Training and Resource Hospital Gaziantep Turkey

Sponsors and Collaborators

  • Dr. Ersin Arslan Education and Training Hospital
  • Inonu University

Investigators

  • Principal Investigator: ufuk uylas, Specialist, Dr. Ersin Arslan Training and Resource Hospital

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Ufuk Uylas, Principal Investigator, Dr. Ersin Arslan Education and Training Hospital
ClinicalTrials.gov Identifier:
NCT04363125
Other Study ID Numbers:
  • 23042020
First Posted:
Apr 27, 2020
Last Update Posted:
Apr 28, 2020
Last Verified:
Apr 1, 2020
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No
Keywords provided by Ufuk Uylas, Principal Investigator, Dr. Ersin Arslan Education and Training Hospital
Additional relevant MeSH terms:

Study Results

No Results Posted as of Apr 28, 2020