DOI: https://doi.org/10.22141/2224-0551.15.1.2020.196752

Violations of the motor function of the upper digestive tract in children with vegetative dysfunction

Yu.V. Karulina

Abstract


We conducted a comprehensive clinical, laboratory and instrumental examination of 109 children aged 6–16 years with ve­getative dysfunction and digestive complaints. The symptoms of di­seases were studied taking into account complaints and anamnestic data, results of an objective examination, general clinical study of blood and urine, biochemical blood test, study of feces for helminth eggs, electrocardiography data, consultations of medical specialists, and ultrasound examination of the abdominal organs. The state of the mucous membrane of the stomach and duodenum and the pre­sence of motor-evacuation disorders in the form of reflux were evaluated according to fibroesophagogastroduodenoscopy. The study of the evacuation function of the stomach was carried out by means of ultrasound examination using the filling method. All children underwent a study of the vegetative regulation of heart rate using cardiac rhythmography. Diagnosis of the levels of situational (reactive) and personality anxiety was carried out using the Spielberger test. A group of children with vegetative dysfunction syndrome and motor disorders of the upper digestive tract was identified. The clinical manifestations, risk factors for the occurrence, types of disorders of the motor function of the upper digestive tract in the autonomic dysfunction syndrome in children were studied, and the relationship between these disorders and H.pylori was determined. All examined children were divided into 2 groups. The main group consisted of 87 children with vegetative dysfunction syndrome and impaired motor function of the upper digestive tract, and the comparison group — 22 children with autonomic dysfunction syndrome with normal motor function of the upper digestive tract. For the purpose of treatment, children of the main group were divided into groups depending on the type of disorders of the motor function of the upper digestive canal: group I had accelerated motor function of the upper digestive tract and group II of patients had a slowdown of this function. The course of treatment for patients of both groups lasted 30 days. The effectiveness of the treatment for vegetative dysfunction syndrome has been proven, taking into account the type of motor disorders of the upper digestive tract.


Keywords


vegetative dysfunction; motor function; children

References


Drossman DA, Hasler WL. Rome IV-Functional GI Disorders: Disorders of Gut-Brain Interaction. Gastroenterology. 2016;150(6):1257–1261. doi:10.1053/j.gastro.2016.03.035.

Drossman DA. Functional Gastrointestinal Disorders: History, Pathophysiology, Clinical Features and Rome IV. Gastroenterology. 2016;S0016-5085(16)00223-7. doi:10.1053/j.gastro.2016.02.032.

Leushina EA, Chicherina EN. The modern idea of motor-evacuation violations of the upper section of the gastrointestinal tract (Review of literature). Lechaschii Vrach. 2015;(8):31. (in Russian).

Belmer SV, Khavkin AI, Pechkurov DV. Funktsional'nye narusheniia organov pishchevareniia u detei: Printsipy diagnostiki i lecheniia (v svete Rimskikh kriteriev IV) [Functional disorders of the digestive system in children: Principles of diagnosis and treatment (in light of Roman criteria IV). Moscow: GEOTAR-Media; 2018. 160 p. (in Russian).

Zakharova IN, Osmanov IM, Pykov MI, et al. Instrumental diagnosis of functional disorders of the gastrointestinal tract in the practice of a pediatrician and a children's gastroenterologist. Pediatriia. Consilium Medicum. 2018;(1):79–89. doi:10.26442 / 2413-8460_2018.1.79-89. (in Russian).

Nesina IM. Evaluating the quality of life in children with gastroesophagel reflux disease. Zdorovʹe rebenka. 2017;12(5):580–584. doi:10.22141 / 2224-0551.12.5.2017.109274. (in Ukrainian).

Shadrin OG, Ignatko LV. Modern approaches to the diagnosis and treatment of gastroesophageal reflux disease in children. Zdorov’ja Ukrai'ny. Gastroenterologija, Gepatologija, Koloproktologija. 2016;(41):26–27. (in Ukrainian).

Till H, Thomson M, Foker JE, Holcomb GW, Khan KM, editors. Esophageal and Gastric Disorders in Infancy and Childhood. Berlin: Springer-Verlag; 2017. 1526 p. doi:10.1007/978-3-642-11202-7.

Hunt RH, Camilleri M, Crowe SE, et al. The stomach in health and disease. Gut. 2015;64(10):1650–1668. doi:10.1136/gutjnl-2014-307595.

Kugler TE. Prospects for the use of a new method of ultrasound examination of the stomach with a drinking load in the diagnosis of functional dyspepsia. Novosti Meditsiny i Farmatsii. Gastroenterologiia. 2013;(478):65–68. (in Russian).

Dorofeev AE, Kugler TE, Silakov AI. Research regarding to pathophysiological mechnisms of functional dyspepsia using novel drinkingultrasonography test. Pytannja eksperymental'noi' ta klinichnoi' medycyny. 2013;17(2):14–21. (in Russian).

Sapozhnicov VG. Echography of the stomach and the duodenum in the children. Journal of New Medical Technologies. eEdition. 2012;(1):62. (in Russian).

Akopyan AN, Belmer SV, Vykhristyuk OF, Ardatskaya MD, Tshigoleva NE, Kalintseva VA. Gastroesophageal reflux and gastrointestinal-motility disorders. Doctor.Ru. 2014;(99):45–59. (in Russian).

Miwa H, Kusano M, Arisawa T, et al. Evidence-based clinical practice guidelines for functional dyspepsia. J Gastroenterol. 2015;50(2):125–139. doi:10.1007/s00535-014-1022-3.

Kirianchuk NV. Gastric motility disorders in children with co-exiting pathology of esophagus and organs of gastroduodenal area. Sovremennaya pediatriya. 2019;(97):30–33. doi:10.15574 / SP.2019.97.30. (in Russian).

Makarova EG, Ukraintsev SE. Functional gastrointestinal disorders in infants: long-tern consequences and modern approaches for prevention and treatment. Pediatricheskaya Farmakologiya. 2017;14(5):392–399. doi:10.15690/ pf.v14i5.1788. (in Russian).

Katz PO, Gerson LB, Vela MF. Guidelines for the diagnosis and management of gastroesophageal reflux disease. Am J Gastroenterol. 2013;108(3):308–329. doi:10.1038/ajg.2012.444.

Khavkin AI, Komarova ON. Clinical and pathogenetic variants of antroduodenal motility disorders in children and their medicinal correction. Rossiyskiy Vestnik Perinatologii i Pediatrii. 2015;60(4):119–124. (in Russian).






Copyright (c) 2020 CHILD`S HEALTH

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2020

 

   Seo анализ сайта