• Etiopathogenic mechanisms of occurrence and development of chronic colostasis in children

Etiopathogenic mechanisms of occurrence and development of chronic colostasis in children

PAEDIATRIC SURGERY.2016.3-4(52-53):58-61; doi 10.15574/PS.2016.52-53.58 
 

Etiopathogenic mechanisms of occurrence and development of chronic colostasis in children 
 

Momotov A. A.

Shupyk National Medical Academy of Postgraduate Education, Kiev, Ukraine 
 

Objective. To improve the methods of diagnosis of chronic colostasis in children based on a comprehensive evaluation of the clinical picture of the disease.


Patients and methods. The analysis of 150 case histories of children with constipation in the age from 3 months to 15 years who were under the treatment at the Children’s Clinical Hospital No1, Kyiv city is conducted. Patients were selected on the basis of a random sample upon the admission to the department. At admission all patients underwent a standard clinical and anamnestic examination, as well as a survey by a specially designed questionnaire with a view to more in-depth study of the problem.


Results. Among patients with constipation was observed prevalence of boys over girls by 1.4 times (58.7% and 41.3%, respectively); for boys was more characterized, complicated course of the disease. The most likely causes of chronic colostasis are transferred acute intestinal infections and other diseases accompanied by massive antibiotic therapy, anorectal disorders, errors in diet and unfavorable premorbid background.


Conclusions. Analysis of clinical and anamnestic data allowed to ensure in polyetiology of chronic colostasis in children and to identify risk factors for their development.


Key words: chronic colostasis, children clinical and anamnestic study.


References

1. Dumova NB. 2011. Funktsionalnyie zabolevaniya organov pischevareniya u detey. Detskaya gastroenterologiya. Rukovodstvo dlya vrachey. Pod red NP Shabalova. M: 199–250.

2. Zaharova IN, Sugyan NG, Moskvich IK. 2014. Rossiyskie i mezhdunarodnyie rekomendatsii po vedeniyu detey s zaporami. Voprosyi sovremennoy pediatrii. 13; 1: 74–83.

3. Belmer SV, Gasilina TV, Havkin AI et al. 2005. Funktsionalnyie narusheniya organov pischevareniya u detey. M: 36.

4. Havkin AI. 2013. Zaporyi u detey: problemyi i resheniya. Voprosyi detskoy dietologii. 11; 2: 48–53.

5. Mugie SM, Benninga MA, Di LC. 2011. Epidemiology of constipation in children and adults: a systematic review. Best Pract Res Clin Gastroenterol. 25(1): 3–18. https://doi.org/10.1016/j.bpg.2010.12.010; PMid:21382575

6. Rowan-Legg A. 2011. Managing functional constipation in children. Canadian Paediatric Society, Community Paediatrics Committee. Paediatr Child Health. 16(10): 661–70. PMid:23204909 PMCid:PMC3225480

7. Burgers R, Bonanno E, Madarena E et al. 2012. The care of constipated children in primary care in different countries. Acta Paediatr. 101(6): 677–80. https://doi.org/10.1111/j.1651-2227.2012.02632.x; PMid:22353231