Intussusception in children. History and current state of problems (literature review)

Dihtiar, V.A.; Vladimirovich, Savenko Maksim

doi:10.15574/ps.2019.62.75

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Кишкова інвагінація належить до найчастіших видів набутої кишкової непрохідності у дітей. Будучи комбінованою механічною непрохідністю, вона складається з обтураційного (критичне звуження просвіту) та странгуляційного (защемлення брижі) компонентів [2].…”

Section: гострий апендицит (га)unclassified

Surgical aspects of acute abdominal pain syndrome in children

Konoplitskyi

Pohorilyi

Chornyi

2022

PMJUA

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Acute abdominal pain, which is the leading symptom in the clinic of most diseases of the digestive tract, can be a manifes-tation of acute surgical pathology, trauma or an acute infectious disease. All these pathological conditions, in addition to varying degrees of expressiveness of the painful abdominal syndrome, are accompanied by the formation and development of a true or false “acute abdomen”, which is usually accompanied by symptoms of peritoneal irritation. The article discusses the mechanism of for-mation and spread of abdominal pain syndrome, etiopathogenesis of pain syndrome formation in acute surgical pathology in chil-dren. The most characteristic causes of acute abdominal syndrome in children depending on age are presented. A correctly performed differential diagnosis of acute abdominal pain ensures adequate treatment, including emergency surgical intervention on the or-gans of the abdominal cavity.

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Section: гострий апендицит (га)unclassified

Surgical aspects of acute abdominal pain syndrome in children

Konoplitskyi

Pohorilyi

Chornyi

2022

PMJUA

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“…It is known that among adult patients with pathology of the gastrointestinal tract (GIT) one of the main causes of death is gastrointestinal bleeding (GIB) [1,3,7]. However, there is a steady trend of increasing incidence of inflammatory diseases of the GIT in the children.…”

Section: Introductionmentioning

confidence: 99%

“…As a result, a significant portion of inflammatory gastrointestinal diseases can be complicated by GIB. [2,3,9,10].…”

Section: Introductionmentioning

confidence: 99%

Gastrointestinal bleeding in children: diagnosis, analysis, and structure

Dihtiar,

Savenko,

Barsuk

et al. 2023

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The incidence of gastrointestinal bleeding is a significant concern among adult patients with gastrointestinal tract (GIT) disorders, as it is a leading cause of mortality. However, there is growing evidence of changes in the pattern of gastrointestinal pathologies among children, primarily attributed to an increasing number of cases related to peptic ulcer disease (PUD) and erosive processes of the GIT. Purpose - to investigate the prevalence and analyze changes in the structure of GIT diseases in children complicated by upper gastrointestinal bleeding (GIB), based on esophagogastroduodenoscopy (EGD) data. Materials and methods. Based on the clinic’s records, a total of 4,457 children underwent EGD at the Regional Medical Center of Family Health in Dnipro. Among them, 1,393 (31.25%) patients were admitted to the surgical department with suspected GIB. In 201 (14.4%) cases, EGD was performed during active bleeding to determine its origin. The utilization of EGD during the acute phase in patients with suspected GIB is considered highly effective for both diagnosing the bleeding source and initiating early-stage treatment. The data were processed using the methods of variation statistics using the Statistica v 6.1 software package. To compare the relative indicators, the Pearson Hi-quadrat test (χ2) and the two-sided Fisher’s exact test (TCF) were used. The critical level of statistical significance (p) was accepted as <0.05. Results. To conduct a comparative analysis of diagnosed cases of GIB, two groups of children with endoscopically confirmed GIB were formed: the Group I (n=125) representing the period of 2012-2013, and the Group II (n=201) - the period of 2020-2021. The results revealed an increase of 1.6 times in the number of patients with upper GIT diseases accompanied by bleeding in the Group II. Additionally, a significant rise in the frequency of GIT diseases, specifically erosive esophagitis, was observed. The number of patients with erosive esophagitis tripled in the Group II compared to the Group I. Conclusions. In recent years, there has been a notable rise in GIT diseases accompanied by upper GIB. The number of such cases increased by 1.6 times, from 125 to 201 patients. Notably, there is a pronounced increase in the incidence of erosive esophagitis, particularly among children in the early and younger age groups. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.

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Intussusception in children. History and current state of problems (literature review)

Cited by 2 publications

References 8 publications

Surgical aspects of acute abdominal pain syndrome in children

Surgical aspects of acute abdominal pain syndrome in children

Gastrointestinal bleeding in children: diagnosis, analysis, and structure

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