Diagnostic Utility of Calretinin Immunohistochemistry for the Diagnosis of Hirschsprung's Disease

Objective: The aim of this study was to evaluate the diagnostic utility of calretinin immunostaining in colonic biopsy specimens in patients having a clinical suspicion of Hirschsprung's disease. Study Design: This study was a Cross sectional validation study. Place and Duration of Study: The s...

Full description

Bibliographic Details
Main Author: Maryam Qaiser , Saira Javeed , Rabiya Fawad , Ayesha Sarwar , Iram Kehkashan Khurshid , Abrar Ul Haq Satti
Format: Article
Language:English
Published: Riphah International University, Islamabad 2022-09-01
Series:Journal of Islamic International Medical College
Online Access:https://journals.riphah.edu.pk/index.php/jiimc/article/view/1292
_version_ 1811237089039089664
author Maryam Qaiser , Saira Javeed , Rabiya Fawad , Ayesha Sarwar , Iram Kehkashan Khurshid , Abrar Ul Haq Satti
author_facet Maryam Qaiser , Saira Javeed , Rabiya Fawad , Ayesha Sarwar , Iram Kehkashan Khurshid , Abrar Ul Haq Satti
author_sort Maryam Qaiser , Saira Javeed , Rabiya Fawad , Ayesha Sarwar , Iram Kehkashan Khurshid , Abrar Ul Haq Satti
collection DOAJ
description Objective: The aim of this study was to evaluate the diagnostic utility of calretinin immunostaining in colonic biopsy specimens in patients having a clinical suspicion of Hirschsprung's disease. Study Design: This study was a Cross sectional validation study. Place and Duration of Study: The study was conducted at Pakistan institute of medical sciences, Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, for a period of 11 months (December 2018 to November 2019). Materials and Methods: Sixty specimens from patients including multiple colonic biopsies and biopsies from rectum for doubted Hirschsprung's disease were evaluated. The biopsies were processed in Histopathology lab and Hematoxylin and eosin slides were examined. 30 ganglionic segments and 30 aganglionic segments along with control specimens were further stained with calretinin immunohistochemical marker and evaluated. Results: On Hematoxylin and eosin staining, 30 biopsies showed ganglion cells and 30 biopsies showed absence of ganglion cells. Calretinin immunohistochemistry was then evaluated on these ganglionic and aganglionic segments. In this study, sensitivity was found to be 91.4 % and a 100% of specificity was established. The positive predictive value and negative predictive value was found to be 100% and 89.2% respectively. Conclusion: Calretinin immunohistochemical marker can be applied on colonic and rectal biopsy specimens as a dependable and adjunctive tool for diagnosing Hirschsprung's disease, as it is easy and reliable to be used in daily practice.
first_indexed 2024-04-12T12:20:08Z
format Article
id doaj.art-82dabc37cb6e4de0baee5c46fe8261cb
institution Directory Open Access Journal
issn 1815-4018
2410-5422
language English
last_indexed 2024-04-12T12:20:08Z
publishDate 2022-09-01
publisher Riphah International University, Islamabad
record_format Article
series Journal of Islamic International Medical College
spelling doaj.art-82dabc37cb6e4de0baee5c46fe8261cb2022-12-22T03:33:19ZengRiphah International University, IslamabadJournal of Islamic International Medical College1815-40182410-54222022-09-011731701741688Diagnostic Utility of Calretinin Immunohistochemistry for the Diagnosis of Hirschsprung's DiseaseMaryam Qaiser , Saira Javeed , Rabiya Fawad , Ayesha Sarwar , Iram Kehkashan Khurshid , Abrar Ul Haq SattiObjective: The aim of this study was to evaluate the diagnostic utility of calretinin immunostaining in colonic biopsy specimens in patients having a clinical suspicion of Hirschsprung's disease. Study Design: This study was a Cross sectional validation study. Place and Duration of Study: The study was conducted at Pakistan institute of medical sciences, Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad, for a period of 11 months (December 2018 to November 2019). Materials and Methods: Sixty specimens from patients including multiple colonic biopsies and biopsies from rectum for doubted Hirschsprung's disease were evaluated. The biopsies were processed in Histopathology lab and Hematoxylin and eosin slides were examined. 30 ganglionic segments and 30 aganglionic segments along with control specimens were further stained with calretinin immunohistochemical marker and evaluated. Results: On Hematoxylin and eosin staining, 30 biopsies showed ganglion cells and 30 biopsies showed absence of ganglion cells. Calretinin immunohistochemistry was then evaluated on these ganglionic and aganglionic segments. In this study, sensitivity was found to be 91.4 % and a 100% of specificity was established. The positive predictive value and negative predictive value was found to be 100% and 89.2% respectively. Conclusion: Calretinin immunohistochemical marker can be applied on colonic and rectal biopsy specimens as a dependable and adjunctive tool for diagnosing Hirschsprung's disease, as it is easy and reliable to be used in daily practice.https://journals.riphah.edu.pk/index.php/jiimc/article/view/1292
spellingShingle Maryam Qaiser , Saira Javeed , Rabiya Fawad , Ayesha Sarwar , Iram Kehkashan Khurshid , Abrar Ul Haq Satti
Diagnostic Utility of Calretinin Immunohistochemistry for the Diagnosis of Hirschsprung's Disease
Journal of Islamic International Medical College
title Diagnostic Utility of Calretinin Immunohistochemistry for the Diagnosis of Hirschsprung's Disease
title_full Diagnostic Utility of Calretinin Immunohistochemistry for the Diagnosis of Hirschsprung's Disease
title_fullStr Diagnostic Utility of Calretinin Immunohistochemistry for the Diagnosis of Hirschsprung's Disease
title_full_unstemmed Diagnostic Utility of Calretinin Immunohistochemistry for the Diagnosis of Hirschsprung's Disease
title_short Diagnostic Utility of Calretinin Immunohistochemistry for the Diagnosis of Hirschsprung's Disease
title_sort diagnostic utility of calretinin immunohistochemistry for the diagnosis of hirschsprung s disease
url https://journals.riphah.edu.pk/index.php/jiimc/article/view/1292
work_keys_str_mv AT maryamqaisersairajaveedrabiyafawadayeshasarwariramkehkashankhurshidabrarulhaqsatti diagnosticutilityofcalretininimmunohistochemistryforthediagnosisofhirschsprungsdisease