Comparison of the sacral ratio between children with Hirschsprung disease and non-Hirschsprung

Harry Galuh Nugraha , Pramesti Indri Miranti

Harry Galuh Nugraha
Department of Radiology, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung. Email: [email protected]

Pramesti Indri Miranti
Department of Radiology, Universitas Padjadjaran, Dr. Hasan Sadikin General Hospital, Bandung
Online First: September 15, 2021 | Cite this Article
Nugraha, H., Miranti, P. 2021. Comparison of the sacral ratio between children with Hirschsprung disease and non-Hirschsprung. Bali Medical Journal 10(3): 864-866. DOI:10.15562/bmj.v10i3.2352

Background: Hirschsprung's disease is a congenital gastrointestinal disorder that is the most common cause of intestinal obstruction in children. One of the factors that influence gastrointestinal disorders is the sacrum bone. The sacral index can review the evaluation of the sacral bone, an instrument that can evaluate the development of the sacral bone in different clinical conditions. This study assessed the value of the sacral ratio in children with Hirschsprung's disease and non-Hirschsprung's disease at Dr. Hospital. Hasan Sadikin Bandung.

Methods: This study was a descriptive-analytic study with a case-control design. Sampling was done retrospectively by collecting medical record data and the enema barium readings from October 2019 to July 2020. The study was conducted at the Department of Radiology Hospital Dr. Hasan Sadikin Bandung from September to October 2020. Data processing uses an unpaired T-test.

Results: The total sample was 58 objects, consisting of 29 with Hirschsprung’s disease and 29 non-Hirschsprung, with an average age of Hirschsprung’s disease was 3.14±3.905 years. In the Hirschsprung’s disease group, the mean sacral ratio value was 0,62 and, and the mean sacral ratio in the non-Hirschsprung group was 0,74. Statistical test results with unpaired T-test showed significant mean differences in the case and control groups (p=0.0001).

Conclusion: The sacral ratio value in children with Hirschsprung’s disease compared to non-Hirschsprung were different significantly. 


Moore SW. Hirschsprung disease: current perspectives. Open Access Surg. 2016;9:39–50. Available from: http://dx.doi.org/10.2147/oas.s81552

Afzali N, Malek A, Cheraghzadeh L. Comparison of Sacral Ratio Between Children with Chronic Constipation and Control Group. Iran J Pediatr. 2017;27(3). Available from: http://dx.doi.org/10.5812/ijp.8410

Caicedo O, Moreno L, Montoya R, Jagua A. Comparison of sacral Index in normal paediatric population and patients with constipation, anorectal malformations and vesicoureteral reflux. Rev Colomb Radiol. 2015;26(4):4302–9.

Kajbafzadeh ABDA, Nejat F, Abas LOUP. Comparison of sacral ratio in normal children and children with urinary and/or faecal complaints. Iran J Pediatr. 2008;18(1):57–61.

Warne SA, Godley ML, Owens CM, Wilcox DT. The validity of sacral ratios to identify sacral abnormalities. BJU Int. 2003;91(6):540–4. Available from: http://dx.doi.org/10.1046/j.1464-410x.2003.04114.x

Ahmadi J, Kajbafzadeh A, Kalantari M, Nahvi M, Hadipoor A, Mehrabi BA V. Evaluation of sacral ratio as a prognostic factor in patients with anorectal malformations. Acta Med Iran. 2005;43(2):143–6.

Pena A. Anorectal malformations. J Japanese Soc Pediatr Surg. 1995;31(5):718–31. Available from: https://doi.org/10.11164/jjsps.31.5_718

Torre M, Martucciello G, Jasonni V. Sacral development in anorectal malformations and in normal population. Pediatr Radiol. 2001;31(12):858–62. Available from: http://dx.doi.org/10.1007/s002470100006

Oh JT, Kim HJ, Son SW, Han A, Han SJ, Choi SH, et al. Sacral Ratio in Normal Children and Patients with Anorectal Malformations. J Korean Assoc Pediatr Surg. 2000;6(1):32–9. Available from: https://doi.org/10.13029/jkaps.2000.6.1.32

Article Views      : 0
PDF Downloads : 0