A mother brings her male infant child to the emergency room…
A mother brings her male infant child to the emergency room stating he has progressively worsening constipation, diarrhea, abdominal distension and foul-smelling stool. His symptoms have been present since birth and were typically intermittent. Over the past 2-3 days his symptoms have become more severe and he is now not eating well. She denies seeing any blood in his diaper. His past medical history is significant for failure to pass meconium at birth and failure to meet growth milestones. Upon further history, she describes his stool as “ribbon like”. Which of the following is the most appropriate definitive diagnostic study?
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