Abstract
Relevance. Violation of colon function in children remains an important problem in clinical gastroenterology. Until now, there are various approaches to the treatment of the etiology and pathogenesis of chronic constipation and the issue of treatment practice has not been resolved.Purpose of the research. To study blood flow of the sigmoid and rectum wall in idiopathic megarectosigmoid in children.Material and method of the research. The age of patients varies from 3–15 years. The girls were (79%). The results of sigmoid and rectal blood flow in 29 children with constipation and 16 healthy children were studied.Results. Indicators showed that with this pathology, as a rule, there are changes in the intestinal hemodynamics indicating signs of venous congestion, indicating the presence of veniparesis of the vessels of the colon with constipation in children.Conclusion. Summing up the results of the study, we can say that constipation in children is characterized by disorders of hemodynamics of the colon in the form of a decrease in the tone of the vessels, and the depth of the revealed changes in the conditions of the vascular blood flow allows, along with other diagnostic methods, to form indications for surgical intervention and conservative management of patients suffering constipation.
Highlights
Summing up the results of the study, we can say that constipation in children is characterized by disorders of hemodynamics of the colon in the form of a decrease in the tone of the vessels, and the depth of the revealed changes in the conditions of the vascular blood flow allows, along with other diagnostic methods, to form indications for surgical intervention and conservative management of patients suffering constipation
15 Kuizenga-Wessel S., Koppen I.J.N., Zwager L.W., Di Lorenzo C., de Jong J.R., Benninga M.A. Surgical management of children with intractable functional constipation; experience of a single tertiary children’s hospital
Summary
Цель исследования: изучить кровоток стенки сигмовидной и прямой кишки при идиопатическом мегаректосигмоиде у детей. Можно говорить о том, что запоры у детей характеризуются расстройствами гемодинамики толстой кишки в виде снижения тонуса сосудов, а глубина выявленных изменений в состоянии сосудистого кровотока позволяет, наряду с другими методами диагностики, формировать показания к оперативному вмешательству и консервативному ведению больных, страдающих запорами. Для цитирования: Ахпаров Н.Н., Хаиров К.Э., Афлатонов Н.Б., Ахтаров К.М., Калабаева М.М., Оразалинов А.Ж. Akhparov Nurlan Nurkinovich — Doctor of Medical Sciences, Associate professor, Head of the Department of Surgery, tel.: +7 (701) 718-41-19, e-mail: nurlanakhparov@ mail.ru. Akhtarov Kahriman Makhmutzhanovich — Attending physician at the Department of Surgery. Kalabaeva Moldir Makhsutkhanovna — Attending physician at the Department of Surgery. Orazalinov Azamat Zhanabylovich — Attending physician at the Department of Surgery
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