Do Not Do Recommendation

 
Do not perform rectal biopsy unless any of the following clinical features of Hirschsprung s disease are or have been present: delayed passage of meconium (more than 48 hours after birth in term babies); constipation since first few weeks of life; chronic abdominal distension plus vomiting; family history of Hirschsprung s disease; faltering growth in addition to any of the previous features.

Do Not Do Recommendation Details

Recommendation:
Do not perform rectal biopsy unless any of the following clinical features of Hirschsprung s disease are or have been present: delayed passage of meconium (more than 48 hours after birth in term babies); constipation since first few weeks of life; chronic abdominal distension plus vomiting; family history of Hirschsprung s disease; faltering growth in addition to any of the previous features.
Interventions:
rectal biopsy

Source guidance details

Guidance:
Constipation in children and young people (CG99)
Published date:
May 2010
Paragraph number:
1.3.6
Page number:
20

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