Skip to main content
Log in

Diagnosis of neuronal colonic dysplasia in primary chronic constipation and sigmoid diverticulosis —endoscopic biopsy and enzyme-histochemical examination

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. 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

    PubMed  CAS  Google Scholar 

  2. Feussner H, Reiser SB, Schippers E, Siewert JR (1988) Pathophysiologische Grundlagen und therapeutische Konsequenzen bei Motilitätsstörungen am Darm. Chirurg 59: 1–7

    PubMed  CAS  Google Scholar 

  3. Gulotta F, Straaten G (1977) Hirschsprung’sche Krankheit mit gleichzeitiger Aganglionose und sogenannter neuronaler Kolondysplasie (Dysganglionosis colica). Z Kinderchir 20:42–49

    Google Scholar 

  4. Heitz PU, Komminoth P (1990) Biopsy diagnosis of Hirschsprung’s disease and related disorders. Curr Top Pathol 81: 257–275

    PubMed  CAS  Google Scholar 

  5. 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

    Article  PubMed  CAS  Google Scholar 

  6. Karnovsky M, Roots C (1964) A “direct-coloring” thiocholine method for cholinesterase. J Histochem Cytochem 12: 219–221

    PubMed  CAS  Google Scholar 

  7. 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

    PubMed  CAS  Google Scholar 

  8. Meier-Ruge W (1971) Uber ein Erkrankungsbild des Colon mit Hirschsprung-Symptomatik. Verh Dtsch Ges Patho1 55: 506–510

    CAS  Google Scholar 

  9. Meier-Ruge W (1982) Morphological diagnosis. In: Holschneider AM (ed) Hirschsprung’s disease. Hippokrates, Stuttgart; Thieme-Stratton, New York, pp 62–71

    Google Scholar 

  10. 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

    Google Scholar 

  11. Meier-Ruge (1985) Angeborene Dysganglionosen des Colon. Kinderarzt 16: 151–164

    Google Scholar 

  12. Nachlas MM, Margulies SI, Seligmann AM (1960) Sites of electron transfer to tetrazolium salts in the succinoxidase system. J Biol Chem 235: 2739–2743

    PubMed  CAS  Google Scholar 

  13. Pistor G, Hofmann-von-Kap-herr S (1984) Funktionelle Kolonsonographie bei neuronaler intestinaler Dysplasie. FortschrMed 102: 397–400

    CAS  Google Scholar 

  14. Read NW, Timms JM (1986) Defecation and the pathophysiology of constipation. Clin Gastroenterol 15: 937–965

    PubMed  CAS  Google Scholar 

  15. Scheurer U (1987) St6mngen der Kolonmotilität. In: Koelz HR, Aeberhard P (eds) Gastroenterologische Pathophysiologie. Springer, Berlin Heidelberg New York, pp 100–111

    Google Scholar 

  16. StoΒ F (1990) Investigations of the muscular architecture of the rectosigmoid junction in humans. Dis Col Rect 33: 378–383

    Article  Google Scholar 

  17. Stog F (1990) Neuronal dysplasia — considerations for the pathogenesis and treatment of primary chronic constipation in adults. Int J Colorect Dis 5: 106–112

    Article  Google Scholar 

  18. Stog F (1990) The importance of neuronal dysplasia in diverticulosis of the sigmoid colon. Coloproctology 12: 354–359

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

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

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02653223

Key words

Navigation