RESUMO
Biliary tract (BT) diseases occupy one of the first places among the gastrointestinal diseases in children. The term "biliary tract" includes the gallbladder and intra-and extrahepatic bile ducts. The structure of biliary tract diseases had a significant increase in metabolic and inflammatory diseases, functional disorders. According to this, purpose of this study was to propose algorithms for children examination with biliary tract diseases in outpatient and hospital phases. In this article, based on their own experience was described the features and significance of laboratory and instrumental methods in the diagnosis of biliary tract disease in children. It was shown that the diagnostic significance of intrascope research methods in the identification of bile-excreting system diseases in children.
Assuntos
Doenças Biliares/diagnóstico , Adolescente , Algoritmos , Doenças Biliares/diagnóstico por imagem , Criança , Colangiopancreatografia Retrógrada Endoscópica , Diagnóstico Diferencial , Humanos , Imageamento por Ressonância Magnética , Tomógrafos Computadorizados , UltrassonografiaRESUMO
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.
