Abstract
Vomiting in children is a common complaint in any health care facility serving children. Usually, vomiting has an organic gastrointestinal or infectious origin, when examining such a patient, it is possible to establish the etiology of vomiting and prescribe etiotropic treatment for recovery. But in rare cases, vomiting can be caused by a rare dysfunction of organs and organ systems that cannot be detected during a comprehensive examination, and its results can vary up to life-threatening. Clinical case. The article presents a clinical case of successful surgical treatment of a child with chronic vomiting syndrome complicated by stage 3 malnutrition, severe protein-energy deficiency due to narcotic fetopathy, and withdrawal syndrome. The importance of interdisciplinary cooperation, the effect of surgical treatment in a patient with neurological pathology is shown. The effectiveness of the surgical intervention was confirmed by the immediate results of the early postoperative period and follow-up by observing the child for 2 years. Conclusions. A positive result of treatment demonstrates the effectiveness of interdisciplinary cooperation and a pathogenetic approach to the treatment of a rare form of vomiting due to the impossibility of prescribing etiotropic treatment in this case. The research was carried out in accordance with the principles of the Helsinki declaration. The informed consent of the patient was obtained for conducting the studies. No conflict of interest was declared by the authors. Key words: vomiting, malnutrition, narcotic fetopathy, enteral nutrition, jejunostomy.
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