Age Peculiarities of the Course of Functional Biliary Disorders in Children
Keywords:functional biliary disorders, children
Introduction. Functional pathology of biliary tract is widespread among children of different age. The main signs of functional biliary disorders in children are manifestations of dyspeptic, pain, asthenovegetative and cholestatic syndromes of various intensity. The research objective: to study the peculiarities of the biliary functional disorders in children of different age groups. Materials and methods. There were observed 85 children aged from 3 up to 17 years old with the confirmed diagnosis of functional biliary disorders. The patients’ examination included: anamnestic data, general clinical investigation, laboratory and instrumental studies. Among the examined children 44 children were aged from 3 up to 6 years old, 41 patients were aged from 7 up to 17 years old. Results of the research. The main causes of the disease among children of preschool age were the following: improper feeding (63.6 %), the acute infections of the alimentary system diseases in anamnesis (29.5 %), presence of the chronic infection foci (22.7 %). According to the result of the analysis of clinical manifestations there was established that in 88.6 % of children of preschool age hypokinetic functional biliary disorders prevailed, accompanied by persistent not intensive stomach ache and dyspeptic syndrome. Improper feeding (92.6 %), psychoemotional stress (43.9 %), hypodynamia (34.2 %), vegetative deregulation (24.3 %) were the main reasons for the exacerbation of the disease among school children. In 48.7 % of children of school age there were diagnosed pancreatic disorders. Discussion of the research results. Therapeutic correction of functional biliary disorders in children is required to be carried out taking into account that in children of preschool age the hypokinetic functional biliary disorders prevailed, and in children of school age there was more often diagnosed functional pancreatic disorder of Oddi’s sphincter and hyperkinetic functional biliary disorder of Oddi’s sphincter. Conclusions. The consideration of the age features of a course of functional biliary disorders in children contributes to the choice of the best scheme of therapy to improve health condition of a child.
Allenova YuE, Pechkurov DV, Galleeva RT. [Features of functional disorders of the gastrointestinal tract, manifested by abdominal pain in the youngest age groups]. Praktycheskaya medytsyna. 2014 ; 9(85):113-117. Russian.
Berezhny`j VV, Kozachuk VG. [Modern approach to correcting digestive disorders in infants with functional disorders of the gastrointestinal tract]. Sovremennaya pedyatrіya. 2013; 5 (53): 175-179. Ukrainian.
Berezhnoj VV, Kury`lo LV, Kozachuk VG. [Principles of enzyme therapy in children]. Sovremennaya pedy`atry`ya . 2014; 8 (64): 84-89. Russian.
Deny`sov M.Yu. [Clinical symptoms and treatment of children with dysfunction of the sphincter of Oddi ]. RMZh. 2011; 22:1348. Russian.
Yeshhenko A.V. [Impact of functional disorders of biliary tract on liver condition in adolescents]. Gastroenterology`ya. 2013;2(48): 36- 39. Ukrainian.
MOH Ukraine of 29.01.2013 № 59 g. Unified clinical protocols of medical care for children with diseases of the digestive system: unified clinical protocols of medical care for children with functional gastrointestinal disorders [Electronic resource]. - Access: http: // www.moz.gov.ua/docfiles/dod59_2_2013.pdf Ukrainian.
Reshetilov Yu.I., Dmy`triyeva S.M. [Age characteristics of motor disorders in inflammatory pathologies of the digestive system]. Zdorov`e rebenka. 2015;5(65: 41- 44. Ukrainian.
Shhadry`n O.G., Belousova O.Yu. [Pediatric Gastroenterology and Nutrition: Problems and Prospects]. Zdorov`e rebenka. Tematy`chesky`j vupusk Detskaya gastroenterology`ya. 2015;(62:9-12. Russian.
How to Cite
Copyright (c) 2016 I.V. Pashchenko
This work is licensed under a Creative Commons Attribution 4.0 International License.