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Hirschsprung disease is a developmental disorder characterized by the ____________________ of ganglia in the distal colon , resulting in ____________________ functional obstruction . See the images below .
Most cases of Hirschsprung disease are diagnosed in the newborn period . Hirschsprung disease should be considered ____________________ any newborn who fails to pass meconium within 24 - 48 hours of birth . ____________________ contrast enema is useful in establishing the diagnosis , full - thickness rectal biopsy ____________________ the criterion standard . Once the diagnosis is ____________________ , the definitive treatment is to remove the aganglionic bowel and ____________________ restore continuity of the healthy bowel ____________________ the distal rectum , with or without an initial intestinal diversion .