1. Federal State Autonomous Institution “National Medical Research Center of Children’s Health” of the Ministry of Health of the Russian Federation (Scientifi c Center for Children’s Health), Russia, 119991, Moscow
2. Federal State Autonomous Educational Institution of Higher Education I. M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Russia, Moscow

Keywords: full-spectrum colonoscopy, panoramic colonoscopy, FUSE, children, colorectal polyps, polypectomy, inflammatory bowel diseases

Abstract: The aim was to assess the potential of the usage and efficacy of full-spectrum colonoscopy in children. Materials and methods: 22 children (1-17 years) were assessed with a full-spectrum colonoscope (FUSE system). Colorectal polyps were detected and removed in five of them. A new FUSE colonoscope has three cameras and allows a panoramic to 330 ° field of view. Results. With this full-spectrum colonoscope, endoscopists are able to view difficult- or impossible- to- view areas within the colon (“blind spots”), that allows to improve diagnostics of colorectal lesions. FUSE system helps in navigation within the colon. FUSE colonoscopy appears to be safe and efficient diagnostic and therapeutic method in children.

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Full text is published :
Budkina T. N., Lokhmatov M. M., Dyakonova E. Yu., Ibragimov S. I., Oldakovsky V. I., Tupylenko A. V. First experience of using full-spectrum colonoscopy in children. Experimental and Clinical Gastroenterology. 2019;164(4): 122–126. (In Russ.) DOI: 10.31146/1682-8658-ecg-164-4-122-126.
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1. State Budgetary Healthcare Establishment “Regional Clinical Hospital № 2” of the Ministry of Healthcare of the Krasnodar Region (GBUZ “KKB№ 2”) Krasnykh Partizan ul. 6, building 2 Krasnodar, 350012, Russia

Keywords: Cholecysto-duodenal fi stula, choledocholithiasis, small bowel obstruction

Abstract: The interest of the above clinical case is that cholecysto-duodenal fistula, which arose against the background of cholelithiasis and caused high obstructive small intestinal obstruction by biliary calculi migrated from it, is a very rare complication of gallstones and was diagnosed at the preoperative stage. Patient B, 75 years old, was admitted to GBUZ “KKB No. 2” in Krasnodar on July 21, 2016 with a diagnosis of Cholelithiasis. Chronic calculous cholecystitis. Choledocholithiasis. High small bowel obstruction? The first step was performed diagnostic esophagogastroduodenoscopy. When endoscopy at the output level of the LDPC, along the back wall, a wall defect in the form of a cholecysto-duodenal fistula with visualization of the gallbladder cavity is determined. At the level of the lower horizontal branch of the duodenum, there are mobile multiple biliary concrements that completely overlap the lumen of the duodenum. It was decided to perform endoscopic mechanical litoextraction of these stones. With the Dormia basket probe, movable duodenal calculi were captured and removed. After deleting the mobile calculus data, we found a large calculus that completely covered the duodenal lumen. An attempt was made to electrohydraulic lithotripsy of this large calculus of duodenum. The calculus was fragmented. But when trying to hold an endoscope for calculus fragments, in order to capture them with a basket of Dormia, the ischemic wall of the duodenum perforated. The patient was transferred to the operating room, where laparotomy, duodenotomy, removal of the wedged calculus of the lower horizontal branch of the duodenum, suturing of the duodenum defect were performed. On day 12 after surgery, the patient was discharged from the hospital in a satisfactory condition.

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Full text is published :
Gabriel S. A., Dynko V. Yu., Guchetl A. Ya., Tlekhuray R. M., Bespechnyj M. V., Mamishev A. K. Attempt to endoscopic treatment of high obstructive intestinal obstruction, due to biliary calculus. Experimental and Clinical Gastroenterology. 2019;164(4): 127–130. (In Russ.) DOI: 10.31146/1682-8658-ecg-164-4-127-130
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1. FSBEI of HE “The Chuvash State University n. a. I. N. Ulyanov”, 15 Moscow avenue, 428015 Cheboksary, Russia
2. SAI SVE “The Institute of Postgraduate Medical Education” of the Chuvash Republic Ministry Healthcare, 27 Sespel street, 428018 Cheboksary, Russia
3. BI of HE “The Surgut State University”, 1 Lenina street, 628412 Khanty-Mansi Autonomous Region — Ugra, Surgut, Russia
4. BI "City clinical hospital № 1" of the Ministry of Нealthcare of the Chuvash Republic, Cheboksary, Russia

Keywords: non-alcoholic fatty liver disease, steatosis, steatohepatitis, ursodeoxycholic acid

Abstract:

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Full text is published :
Tarasova L. V., Busalaeva E. I., Tsyganova J. V., Diomidova V. N. Clinical case of non-alcoholic fatty liver disease successful treatment in a young patient. Experimental and Clinical Gastroenterology. 2019;164(4): 131–135. (In Russ.) DOI: 10.31146/1682-8658-ecg-164-4-131-135
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