Abstract
Hirschsprung’s disease (HSCR) is known to occur in families. In affected families, the reported overall incidence of HSCR is 7.6%, increasing to 15–21% in total colonic aganglionosis and 50% in the rare total intestinal aganglionosis. Familial occurrence, male predominance, high sibling recurrence risk, association with chromosomal anomalies, and the existence of several naturally occurring animal models with colonic aganglionosis strongly suggest an underlying genetic etiology. The mode of inheritance varies from dominant with reduced penetrance in nonsyndromic familial HSCR patients to recessive in families with syndromic HSCR. Genetic counseling should be offered to HSCR families, particularly in those with long-segment HSCR and total colonic aganglionosis.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Amiel J, Lyonnet S. Hirschsprung disease, associated syndromes, and genetics: a review. J Med Genet. 2001;38(11):729–39.
Angrist M, Bolk S, Thiel B, Puffenberger EG, Hofstra RM, Buys CH, et al. Mutation analysis of the RET receptor tyrosine kinase in Hirschsprung disease. Hum Mol Genet. 1995;4(5):821–30.
Attie T, Pelet A, Edery P, Eng C, Mulligan LM, Amiel J, et al. Diversity of RET proto-oncogene mutations in familial and sporadic Hirschsprung disease. Hum Mol Genet. 1995;4(8):1381–6.
Badner JA, Sieber WK, Garver KL, Chakravarti A. A genetic study of Hirschsprung disease. Am J Hum Genet. 1990;46(3):568–80.
Best KE, Addor MC, Arriola L, Balku E, Barisic I, Bianchi F, et al. Hirschsprung’s disease prevalence in Europe: a register based study. Birth Defects Res A Clin Mol Teratol. 2014;100(9):695–702.
Bittles A. Consanguinity and its relevance to clinical genetics. Clin Genet. 2001;60(2):89–98.
Bodian M, Carter CO, Ward BC. Hirschsprung’s disease. Lancet. 1951;1(6650):302–9.
Gariepy CE. Genetic basis of Hirschsprung disease: implications in clinical practice. Mol Genet Metab. 2003;80(1–2):66–73.
Hannon RJ, Boston VE. Discordant Hirschsprung’s disease in monozygotic twins: a clue to pathogenesis? J Pediatr Surg. 1988;23(11):1034–5.
Hashmi MA. Frequency of consanguinity and its effect on congenital malformation – a hospital based study. J Pak Med Assoc. 1997;47(3):75–8.
Henderson D, Zimmer J, Nakamura H, Puri P. Hirschsprung’s disease in twins: a systematic review and meta-analysis. Pediatr Surg Int. 2017;33(8):855–9.
Karim A, Akter M, Aziz TT, Hoque M, Chowdhury TK, Imam MS, et al. Epidemiological characteristics of Hirschsprung’s disease (HSCR): results of a case series of fifty patients from Bangladesh. J Pediatr Surg. 2018;53(10):1955–9.
Mc Laughlin D, Puri P. Familial Hirschsprung’s disease: a systematic review. Pediatr Surg Int. 2015;31(8):695–700.
Menezes M, Puri P. Long-term clinical outcome in patients with Hirschsprung’s disease and associated Down’s syndrome. J Pediatr Surg. 2005;40(5):810–2.
Mohammed AA, Gahukamble DB. Concordant expression of Hirschsprung’s disease in monozygous twins. Saudi Med J. 2000;21(2):200–1.
Moore SW. Chromosomal and related Mendelian syndromes associated with Hirschsprung’s disease. Pediatr Surg Int. 2012;28(11):1045–58.
Moore SW, Zaahl M. Clinical and genetic correlations of familial Hirschsprung’s disease. J Pediatr Surg. 2015;50(2):285–8.
Moore TC, Landers DB, Lachman RS, Ament ME. Hirschsprung’s disease discordant in monozygotic twins: a study of possible environmental factors in the production of colonic aganglionosis. J Pediatr Surg. 1979;14(2):158–61.
Patel RV, Lawther S, McCallion WA. Discordant monozygotic total colonic Hirschsprung’s disease presenting with neonatal isolated ileal perforation. BMJ Case Rep. 2013;2013. pii: bcr2013200743. https://doi.org/10.1136/bcr-2013-200743
Puri P, Tomuschat C. Hirschsprung’s disease. In: Puri P, editor. Newborn surgery. 4th ed. Boca Raton: CRC Press; 2018. p. 667–83.
Rajab A, Freeman NV, Patton MA. Hirschsprung’s disease in Oman. J Pediatr Surg. 1997;32(5):724–7.
Ryan ET, Ecker JL, Christakis NA, Folkman J. Hirschsprung’s disease: associated abnormalities and demography. J Pediatr Surg. 1992;27(1):76–81.
Siplovich L, Carmi R, Bar-Ziv J, Karplus M, Mares AJ. Discordant Hirschsprung’s disease in monozygotic twins. J Pediatr Surg. 1983;18(5):639–40.
Stewart DR, von Allmen D. The genetics of Hirschsprung disease. Gastroenterol Clin North Am. 2003;32(3):819–37, vi
Teerlink CC, Bernhisel R, Cannon-Albright LA, Rollins MD. A population-based description of familial clustering of Hirschsprung disease. J Pediatr Surg. 2018;53(7):1355–9.
Tomuschat C, Puri P. RET gene is a major risk factor for Hirschsprung’s disease: a meta-analysis. Pediatr Surg Int. 2015;31(8):701–10.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Puri, P., Nakamura, H. (2019). Familial Hirschsprung’s Disease. In: Puri, P. (eds) Hirschsprung's Disease and Allied Disorders. Springer, Cham. https://doi.org/10.1007/978-3-030-15647-3_6
Download citation
DOI: https://doi.org/10.1007/978-3-030-15647-3_6
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-15646-6
Online ISBN: 978-3-030-15647-3
eBook Packages: MedicineMedicine (R0)