THE GASTROINTESTINAL TRACT PATHOLOGY IN CHILDREN WITH THE CELIAC TRUNK BLOODSTREAM ABNORMALITY.

G.I. MOSKOVICH, L.A.DULKIN, N.S. BALDINA, O.Y. KLUCHNIKOV, Y.Y.SURNINA

Ural State Additional Education, Academy of Medicine, Children’s city clinic hospital No.1, Chelyabinsk, RUSSIA

The most frequent reason causing the celiac trunk bloodstream abnormality in children is the compressive celiac trunk stenosis (CCTS). The symtomocomplex of clinical presentations at the CT bloodstream abnormality is nonspecific, and has been too little studied in children.

We have set a task to study the CT bloodstream rates by using the ultrasound duplex scanning (USDS) data and the GIT disease structure at the CT bloodstream abnormality in children.

Materials and methods. We have examined 62 children (29 boys and 33 girls) aged 6 to 18 years old, who were hospitalized to the gastroenterologic department. All children were clinically and instrumentally examined in accordance with the records accepted, as well as USDS for the abdominal region of aorta, CT and upper mesenteric artery by Toshiba Xario XG device.

The research results. The CT bloodstream abnormality has been revealed in 23 children (37,1%), the CT compressive stenosis – in 17 children (73,9%), the CT structure abnormalities – in 9 children (39,1%). In 7 children (30,4%) the stenosis degree varied 60 to 85%, in 10 children (42,7%) the stenosis degree was insignificant – lower than 60%. The CT occlusive affections have not been found in children examined by us.

In children with the CT bloodstream abnormality, a range of gastrointestinal tract diseases has been revealed, and among such diseases the GIT upper department inflammations (gastritis, gastroduodenitis) prevailed in 16 (66.6%) cases, 6 (37.5%) cases of them were associated with the NR infection. The ulcerous disease has been found in 3 (12.5%) children. Erosive affections of the GIT upper department were in 4 children (16.6%), DGR – in 9 children (37.5%), GERB - in 9 children (37.5%). The bowels pathology has been found in the children examined by CCTS: celiac disease – 1 child, SRC – three children, NUC – 1 child, chronic proctosigmoiditis – 7 children (29.1%). The gallbladder development abnormalities have been found in 31.8%. The gallbladder dysfunction was observed in 90.5%.

So, the CT haemodynamics abnormalities in children and teenagers take place rather often, and when CT bloodstream abnormality exists in children the GIT affections may be various. The CT CCTS for children having the GIT pathology enables to diagnose the CT bloodstream abnormality at early stage, that probably is one of links of the pathogenesis for a number of gastroenterologic diseases.

Date: 2014-12-28; view: 687