Functional constipation in infants: Diagnosis and therapy in practice

Камалова, А. А.; Шакирова, А. Р.

doi:10.21508/1027-4065-2016-61-4-108-113

Cited by 6 publications

(2 citation statements)

References 13 publications

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“…У 1/5 части больных для исчезновения болей необходимо использование спазмолитических препаратов. У детей выявляется сочетание нескольких диспепсических и астеновегетативных симптомов [22,23,24].…”

Section: Discussionunclassified

Clinical features and nature of the course of dysfunctional disorders of the biliar tract for children living in environmentally adverse areas of Krasnodar region

Shashel,

Nazaretyan,

Naumenko

et al. 2023

jour

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The article refl ects the results of a study of the infl uence of adverse environmental factors on the formation of pathology of the biliary system in children of the Krasnodar Territory living in ecologically unfavorable territories.The purpose of the work is to study the features of clinical manifestations of diseases of the biliary system in children living in ecologically unfavorable territories of the Krasnodar Territory. 683 children aged 7–17 years were examined on the basis of the DDC DKKB of Krasnodar.In the course of the study, the clinical features of various forms of dysfunctional disorders, prevalence and morbidity in relation to the level of environmental pollution were studied according to the method of V. A. Shashel and co-authors. The regularities of the prevalence of diseases of the digestive tract depending on the level of pollution have been revealed.

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Section: Discussionunclassified

Clinical features and nature of the course of dysfunctional disorders of the biliar tract for children living in environmentally adverse areas of Krasnodar region

Shashel,

Nazaretyan,

Naumenko

et al. 2023

jour

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“…врачамиклиницистами в области гастроэнтерологии и колопроктологии были разработаны Римские критерии I, II, III, IV пересмотра. В IV пересмотре были скорректированы критерии для детей от 0 до 4 лет (Таблица 3) [37].…”

Section: диагностикаunclassified

Chronic constipation in children: diagnosis and treatment through the prism of time

Goryacheva,

Tsvetkova,

Moiseev

et al. 2024

jour

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Constipation is one of the most frequent nosologies encountered during outpatient consultations with a pediatric gastroenterologist. This article discusses the diagnosis and treatment of chronic constipation (CC) in children on the basis of both international and Russian clinical guidelines. About 70% of children in the world suffer from CC, most of them have functional nature. In 30-52% of children, symptoms persist for the next 5 years, and about 25% of patients continue to suffer from constipation as adults. Children with CC often see a pediatrician and gastroenterologist, are treated as inpatients, or are hospitalized on an emergency basis. Consequently, chronic constipation represents a significant economic problem for the health care system. Constipation in children needs timely diagnosis and comprehensive treatment.

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Rectal prolapse in children. Causes, diagnostics, treatment (a literature review)

Pimenova

Korolev

2021

Russian Journal of Pediatric Surgery

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Introduction. Rectal prolapse is evagination of the rectal wall outside the anal opening. It can be full-thickness, partial thickness or mucosal. Rectal prolapse is most often met in children from 1 to 4 years of age. This is due to their anatomical features: vertical position of the rectum (open anorectal angle), mobile sigmoid colon, increased mobility of the rectal mucous. Chronic constipation plays an important role in evagination as well as infection, parasitic diseases and cystic fibrosis.Material and methods. Literature searches were done in Scopus, PubMed, Google Scolar and eLibrary databases.Results. Diagnostics includes disease history and physical examination. It is important to differentiate rectal prolapse from hemorrhoids and prolapsing rectal polyps. Photos taken by parents at the moment of prolapse can benefit in making a rapid and correct diagnosis as at the moment of examination the prolapse has very often been corrected. Currently, there are three basic approaches for rectal prolapse care: conservative, sclerotherapy and surgical. The conservative treatment is aimed to reduce the prolapse and to treat the basic disease. Sclerotherapy is the injection of the preparation which causes local inflammation and fibrosis. The injection is made into the pararectal space. If the conservative treatment is ineffective and the patient suffers of frequent prolapses, strangulation, mucous bleedings, than surgical treatment may be indicated for children older than 4.Conclusion. The meta-analysis, performed recently, has demonstrated that conservative treatment is recommended for children before 4 because spontaneous prolapse correction is often seen in this age group. 70% ethyl alcohol is very effective as the sclerosant. Surgical interventions in case of the rectal prolapse are various; open and laparoscopic rectopexy is considered the most effective one. In some cases, rectum fixation with mesh is indicated. Currently, there is no any technique for rectal prolapse treatment which could guarantee no recurrences. Curative tactics is always individual.

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Functional constipation in infants: Diagnosis and therapy in practice

Cited by 6 publications

References 13 publications

Clinical features and nature of the course of dysfunctional disorders of the biliar tract for children living in environmentally adverse areas of Krasnodar region

Clinical features and nature of the course of dysfunctional disorders of the biliar tract for children living in environmentally adverse areas of Krasnodar region

Chronic constipation in children: diagnosis and treatment through the prism of time

Rectal prolapse in children. Causes, diagnostics, treatment (a literature review)

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