Doc. of Med. Sci., professor, head of the department of pediatric surgery, pediatric surgeon; Scopus Author ID: 56925375800 Резюме Основные методы диагностики врожденной непроходимости кишечника (ВНК)-рентгенологические. УЗИ играет вспомогательную роль при проведении дифференциальной диагностики. * Иллюстрации к статье-на цветной вклейке в журнал. * Illustrations to the article are on the colored inset of the Journal. Диагностика и лечение врождённой кишечной непроходимости… | Diagnostics and treatment of newborn intestinal obstruction… Заключение: УЗИ выявляет патологию, не определяемую рентгенологическими методами, но требующую немедленных действий (заворот, перитонит), исключает обследования с контрастом, когда они противопоказаны (перитонит), не требует транспортировки пациента, специального положения для выполнения исследования, существенно сокращает лучевую нагрузку. УЗ-контроль позволяет безопасно выполнить малоинвазивное лечение: дренирование брюшной полости при перитоните.
Выявлены некоторые конституциональные особенности течения хронического HP-ассоциированного гастродуоденита у детей, в частности большая подверженность детей-астеников функциональным нарушениям эзофаго-гастральной зоны (p≤0,05). Отмечена стойкая тенденция к более легкому клиническому течению хронического гастродуоденита у детей-астеников (развитие поверхностного гастродуоденита) в сравнении с нормостениками (гипертрофический и эрозивный гастродуоденит) (p<0,05). Гиперстеники подвержены развитию поражений пищевода в виде эзофагита (p<0,05).Ключевые слова: типы конституции, хронический гастродуоденит, Helicobacter pylori.
Recently, in Russia the number of children with chronic inflammatory diseases of the digestive system grows steadily. Chronic diseases of the digestive system in children often begin in pre-school and school age. This article discusses the objective criteria of the chronic diseases of the digestive system in children. This pathology is an important social and medical problem among children. Today, there are many children with digestive pathology. The leading is gastro-duodenal pathology. Analysis of the above data shows the high complexity of the diagnostic evaluation of different symptoms that can only be detected on palpation of the anterior abdominal wall in children with combined pathology of the organs of the gastro-duodenal zone. This is due to the co-morbidity of development of pathological process. On the other part, however, the authors observed a logical relation in the frequency of occurrence of these or other symptoms depending on the extent and nature of the lesion of the stomach, duodenum, biliary system, pancreas in children. This again underlines the importance of improving instrumental methods in children with disorders of the digestive system.
Recently, a number of children with chronic inflammatory diseases of the digestive organs is growing in Russia. This article considers the clinical manifestations of children with chronic gastro-duodenal diseases. The problems of the chronic diseases of gastrointestinal tract are relevant due to the significant prevalence the digestive diseases in children, among them the leading place is a gastro-duodenal pathology. The high prevalence of this pathology in children is an important social and medical problem. An analysis of the prevalence of digestive diseases among the children in the Russian Federation indicates that over the last 20 years there is a significant increase in gastrointestinal pathology in children and uncontrolled increase in the incidence of diseases of the stomach and duodenum. The clinical manifestations of a chronic gastro-duodenal pathology are various and depend on the degree of structural changes of the organs, their location, a stage of the pathological process, functional status and disturbance of metabolic processes in the body. Chronic diseases of the digestive system in children often begin in pre-school and school age. The gastro-duodenal diseases have a relapsing course, they are a cause of anatomical changes of the body. In the future, it leads to loss of earning capacity and disability among the adult population.
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