Unlabelled: Years of experience observing children with GSD made possible to determine the clinical course and to clarify some of mechanisms of postcholecystectomical syndrome formation in children. Material and methods. There were observed 148 children who underwent cholecystectomy at the age of 3 to 15 years. There were 44 boys and 104 girls. Diagnosis refined was conducting by ultrasonography, magnetic resonance imaging. Degree of biliary insufficiency was assessed based on dynamic of gepatobilliarscintigraphy. The clinical picture of disease was assessed according to age and sex of the child.
Results: We described the clinical course and pathogenetic mechanisms of postcholecystectomical syndrome in children in the age aspect. Based on the results of our research, were found ways of correction of postcholecystectomical syndrome in children with cholelithiasis.
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The article presents the results of a survey of 72 patients who underwent cholecystectomy in 2008-2010. 5 years after cholecystectomy were revealed the changes in the organs of the gastrointestinal tract caused by loss of the physiological function of the gallbladder: half of patients--had increasing fasting blood sugar and duodenal reflux, in 46% of patients--were reduction of pancreatic elastase-1 in stools. According to the fractional duodenal intubation prevails hypersecretory type of bile, 35%--hypotonia, in 45%-- hypertonicity of the sphincter of Oddi.
View Article and Find Full Text PDFThe article presents the case of the development of the postcholecystectomical syndrome in a child with a gallstone disease after cholecystectomy. It describes the clinical picture of the postcholecystectomical syndrome, identifies laboratory changes, characteristic for the postcholecystectomical syndrome in children. The aim of this work was to show the clinical example of the difficulty of detecting signs of the postcholecystectomical syndrome in children for the optimization of the diagnostic tactics.
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Cholelithiasis has long ceased to be casuistry in childhood. In connection with the steady tendency for it to grow, it has increased the number of surgical interventions on the occasion of holelitiazis. The removal of the gall bladder in some patients is accompanied by disorders on the part of the digestive system, identified as postcholecystectomical syndrome.
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