[Diagnosis and treatment of chronic pancreatitis in children].

The paper gives many years experience in following up children with chronic pancreatitis. It shows the clinical polymorphism of pancreatitis that in associated with the specific features of a pathological process in the gastroduodenocholedochopancreatis area. To recognize diseases of the pancreas and to evaluate its function, the authors have developed an effective complex of studies and substantiated adequate therapy for pancreatitis.

[Morphofunctional condition of the pancreas in children and teenagers with obesity and metabolic syndrome].

30 childs and teenagers (6- 15-years-old) were examined (16 boys and 14 girls). The signs of metabolic syndrome were revealed in 13 persons (43%) (VOZ, 1999). Echogenicity of pancreatic acinar tissue was reinforced in all persons with obesity, (80%) hyperechogenic inclusions were observed in 67% of the patients.

[Ecological epidemiology in pediatrics].

The authors necessitate precise determination of methodology for epidemiological research in ecologically unfavorable regions. The article deals with standardization principles of epidemiological research protocol, select formation, approaches to detection of regional health problems, quantitative evaluation of ecological risk factors (attributive, relative risks) and their comparative significance (calculation of standardized coefficients of discrimination) in disease formation.

[Current aspects in the clinical picture and diagnosis of gluten enteropathy in children].

Clinical, biochemical, bacteriologic, instrumental and morphological investigations were performed in 52 children with celiac disease (15 patients with the acute phase and 37 ones during incomplete remission proved by clinical and laboratory data). Incidence of secondary gastroenterological affections presenting as chronic gastroduodenitis, chronic pancreatitis or alterations in the small intestinal mucosa was monitored. Therefore, follow-up of the children with the above diseases was found to be mandatory as was a long-term pathogenetically substantiated treatment with gliadin-free diet.