Motility and peristalsis · Physiology

A patient is found to have a lack of ganglionic cells in the myenteric plexus of the distal colon. What is the most likely clinical manifestation?

  1. Rapid gastric emptying (Dumping syndrome)
  2. Excessive watery diarrhea
  3. Severe constipation and megacolon
  4. Frequent gastroesophageal reflux
Show answer and explanation

Correct answer: Severe constipation and megacolon

This describes Hirschsprung's disease, where the absence of the enteric nervous system (myenteric plexus) prevents peristalsis in the affected segment. This results in a functional obstruction, causing fecal buildup and massive dilation of the proximal colon.

Difficulty: Medium Question 27 of 40

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