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Intestinal Neuronal Dysplasia (IND)

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Hirschsprung’s Disease and the Allied Disorders

Abstract

Intestinal neuronal dysplasia (IND) is a pathological condition in which hyperplasia of the submucosal and myenteric plexuses occurs, causing clinical symptoms resembling that of Hirschsprung’s disease despite distinct histological differences. Reports of IND occurring independently, or isolated IND, vary between 0.3% and 62% of all suction rectal biopsies worldwide [1]. In addition, IND can occur in conjunction with other gastrointestinal neuropathies. This condition in which IND coexists with another gastrointestinal disorder is referred to as associated IND. IND is typically associated with Hirschsprung’s disease (HD), and the reported incidence varies from 20% to 66% [2]. Moreover, Fadda et al. further separated IND into two distinct subtypes based on both clinical and histological conditions. These subtypes are referred to as IND Type A and IND Type B [1].

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References

  1. Kobayashi H, Hirakawa H, Puri P. What are the diagnostic criteria for intestinal neuronal dysplasia? Pediatr Surg Int. 1995;10(7):459–64.

    Article  Google Scholar 

  2. Komborozos V, Skrekas GJ. Neuronal intestinal dysplasia: an entity of chronic intestinal pseudo-obstruction. Ann Gastroenterol. 2000;13(2):95–7.

    Google Scholar 

  3. Fadda B, Maier WA, et al. Neuronal intestinal dysplasia. Critical 10-years’ analysis of clinical and biopsy diagnosis. Z Kinderchir. 1983;38:305–11.

    CAS  PubMed  Google Scholar 

  4. Meier-Ruge W. Casuistic of colon disorder with symptoms of Hirschsprung’s disease (author’s transl). Verh Dtsch Ges Pathol. 1971;55:506–10.

    CAS  PubMed  Google Scholar 

  5. Ravitch MM. Pseudo Hirschsprung’s disease. Ann Surg. 1958;147:781–95.

    CAS  PubMed  PubMed Central  Google Scholar 

  6. Holschneider A, Puri P. Hirschsprung’s disease and allied disorders. 3rd ed. New York: Springer; 2008.

    Book  Google Scholar 

  7. Taguchi T, et al. Isolated intestinal neuronal dysplasia Type B (IND-B) in Japan: results from a nationwide survey. Pediatr Surg Int. 2014;30(8):815–22.

    Article  CAS  PubMed  Google Scholar 

  8. Puri P. Variant Hirschsprung’s disease. J Pediatr Surg. 1997;32:149–57.

    Article  CAS  PubMed  Google Scholar 

  9. Friedmacher F, Puri P. Classification and diagnostic criteria of variants of Hirschsprung’s disease. Pediatr Surg Int. 2013;29(9):855–72.

    Article  PubMed  Google Scholar 

  10. Okamoto E, Toyosaka A. Pseudo-Hirschsprung’s disease. In: Research on the pathophysiology, diagnosis and treatment(in-Japanese). Ōsaka-shi: Nagai Shoten; 1996. p. 1–226.

    Google Scholar 

  11. Lourenção d A, Toledo PL, et al. Intestinal neuronal dysplasia type B: A still little known diagnosis for organic causes of intestinal chronic constipation. World J Gastrointest Pharmacol Ther. 2016;7(3):397–405.

    Article  Google Scholar 

  12. Yamataka A, et al. Intestinal neuronal dysplasia-like pathology in Ncx/Hox11L. 1 gene-deficient mice. J Pediatr Surg. 2001;36(8):1293–6.

    Article  CAS  PubMed  Google Scholar 

  13. Kobayashi H, et al. Inflammatory changes secondary to postoperative complications of Hirschsprung’s disease as a cause of histopathologic changes typical of intestinal neuronal dysplasia. J Pediatr Surg. 2004;39(2):152–6.

    Article  PubMed  Google Scholar 

  14. Sacher P, Briner J, Hanimann B. Is neuronal intestinal dysplasia (NID) a primary disease or a secondary phenomenon? Eur J Pediatr Surg. 1993;3(4):228–30.

    Article  CAS  PubMed  Google Scholar 

  15. Vougas V, et al. Intestinal neuronal dysplasia type B in adults: a controversial entity. Case Rep Gastroenterol. 2014;8(1):7–12.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Lumb PD, Moore L. Are giant ganglia a reliable marker of intestinal neuronal dysplasia type B (IND B)? Virchows Arch. 1998;432(2):103–6.

    Article  CAS  PubMed  Google Scholar 

  17. Swaminathan M, et al. Intestinal neuronal dysplasia-like submucosal ganglion cell hyperplasia at the proximal margins of Hirschsprung disease resections. Pediatr Dev Pathol. 2015;18(6):466–76.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Hiroyuki Kobayashi .

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Ishida, F.A., Kobayashi, H. (2019). Intestinal Neuronal Dysplasia (IND). In: Taguchi, T., Matsufuji, H., Ieiri, S. (eds) Hirschsprung’s Disease and the Allied Disorders. Springer, Singapore. https://doi.org/10.1007/978-981-13-3606-5_39

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  • DOI: https://doi.org/10.1007/978-981-13-3606-5_39

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