Summary
Neuronal colonie dysplasia is a separate clinical entity belonging to the group of congenital defects of intestinal innervation. Its enzyme-histochemical diagnosis is possible by endoscopie biopsy examination of the rectosigmoid. Enzyme-histochemically, it is characterized by dysplasia of the submucous plexus secondary to developmental defects. The principal clinical feature is weak propulsive motility. A clinical study was carried out to investigate the role of neuronal colonie dysplasia in the aetiology and pathogenesis of primary chronic constipation and diverticulosis of the sigmoid colon in adults.
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Fadda B, Maier WA, Meier-Ruge W, Schärli A, Daum R (1983) Neuronale intestinale Dysplasie. Eine kritische 10-Jahres-Analyse klinischer und bioptischer Diagnostik. Z Kinderchir 38: 305 - 311
Feussner H, Reiser SB, Schippers E, Siewert JR (1988) Pathophysiologische Grundlagen und therapeutische Konsequenzen bei Motilitätsstörungen am Darm. Chirurg 59: 1–7
Gulotta F, Straaten G (1977) Hirschsprung’sche Krankheit mit gleichzeitiger Aganglionose und sogenannter neuronaler Kolondysplasie (Dysganglionosis colica). Z Kinderchir 20:42–49
Heitz PU, Komminoth P (1990) Biopsy diagnosis of Hirschsprung’s disease and related disorders. Curr Top Pathol 81: 257–275
Hess R, Scarpelli DG, Pearse AGE (1958) The cytochemical localization of oxidati ve enzymes. II. Pyridine nucleotide-linked dehydrogenases. J Biophys Biochem Cytol 4: 753–760
Karnovsky M, Roots C (1964) A “direct-coloring” thiocholine method for cholinesterase. J Histochem Cytochem 12: 219–221
Martelli H, Devroede G, Arhan P, Duguay T, Dornic C, Fardin C (1978) Some parameters of large bowel motility in normal man. Gastroenterology 75:612–618
Meier-Ruge W (1971) Uber ein Erkrankungsbild des Colon mit Hirschsprung-Symptomatik. Verh Dtsch Ges Patho1 55: 506–510
Meier-Ruge W (1982) Morphological diagnosis. In: Holschneider AM (ed) Hirschsprung’s disease. Hippokrates, Stuttgart; Thieme-Stratton, New York, pp 62–71
Meier-Ruge W (1983) Zur Pathogenese anorektaler Anomalien und Dysgangliosen. In: Hofmann-von-Kap-herr S (ed) Anorektale Fehlbildungen. Fischer, Stuttgart New York, pp 19–22
Meier-Ruge (1985) Angeborene Dysganglionosen des Colon. Kinderarzt 16: 151–164
Nachlas MM, Margulies SI, Seligmann AM (1960) Sites of electron transfer to tetrazolium salts in the succinoxidase system. J Biol Chem 235: 2739–2743
Pistor G, Hofmann-von-Kap-herr S (1984) Funktionelle Kolonsonographie bei neuronaler intestinaler Dysplasie. FortschrMed 102: 397–400
Read NW, Timms JM (1986) Defecation and the pathophysiology of constipation. Clin Gastroenterol 15: 937–965
Scheurer U (1987) St6mngen der Kolonmotilität. In: Koelz HR, Aeberhard P (eds) Gastroenterologische Pathophysiologie. Springer, Berlin Heidelberg New York, pp 100–111
StoΒ F (1990) Investigations of the muscular architecture of the rectosigmoid junction in humans. Dis Col Rect 33: 378–383
Stog F (1990) Neuronal dysplasia — considerations for the pathogenesis and treatment of primary chronic constipation in adults. Int J Colorect Dis 5: 106–112
Stog F (1990) The importance of neuronal dysplasia in diverticulosis of the sigmoid colon. Coloproctology 12: 354–359
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Stoss, F., Meier-Ruge, W. Diagnosis of neuronal colonic dysplasia in primary chronic constipation and sigmoid diverticulosis —endoscopic biopsy and enzyme-histochemical examination. Surg Endosc 5, 146–149 (1991). https://doi.org/10.1007/BF02653223
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DOI: https://doi.org/10.1007/BF02653223