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World J Gastrointest Surg. Aug 27, 2025; 17(8): 104954
Published online Aug 27, 2025. doi: 10.4240/wjgs.v17.i8.104954
Table 1 Diagnostic techniques
Diagnostic method
Application purpose
Advantage
Limitation
Rectal mucosal biopsyDetect the deficiency of ganglion cellsGold standard, high accuracyIt is invasive and may require multiple samplings
Anorectal manometryEvaluate the rectoanal inhibitory reflexNon-invasive, functional assessmentInfants and toddlers have a poor cooperation for this method
Genetic test (for example: RET gene)Screen for genetic mutationsAssists in the diagnosis of familial casesHigh cost and limited positive rate