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SURGICAL GASTROENTEROLOGY

    1. Bashkir state medical University, Ufa, Russian Federation Republic, Ufa, Russia

    Keywords: Cholelithiasis, X-ray computer tomography, pediatric surgery, laparoscopic cholecystectomy, children

    Abstract: The aim was investigate some features of diagnosis of cholelithiasis in children. Materials and methods: The study was completed with 75 patients in the Clinic of pediatric surgery of the BSMU, Russia, Ufa in 1997-2017. The mean age of the patients was 11.2±3.8 (3-18) years. 44 (58.7%) patients were females. Results: The original method (X-ray Tomography with cholekinentic) was preferred and received results were decisive for surgery. Identified sclerotic changes (>40 H) and gallstone density (>100H) were indications for cholecystectomy.

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    Full text is published :
    Alyangin V. G., Sataev V. U., Viktorov V. V., Nizhevich A. A., Latypova G. G. Features of diagnosis of cholelithiasis in children. Experimental and Clinical Gastroenterology. 2019;171(11): 59–63. (In Russ.) DOI: 10.31146/1682-8658-ecg-171-11-59-63
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    1. Federal State Budgetary Educational Institution of Higher Education “Northern State Medical University” of the Ministry of Healthcare of the Russian Federation, Troitskiy ave, Arkhangelsk, 163000, Russia
    2. State budgetary healthcare institution “Arkhangelsk Children’s clinical Hospital”, Obvodniy Kanal ave, 7, Arkhangelsk, 163002, Russia
    3. Federal State Budgetary Educational Institution of Higher Education “Tula State University”, Lenina ave, 92, Tula, 300012, Russia
    4. Federal State Budgetary Educational Institution of Higher Education “A. I. Yevdokimov Moscow State University of Medicine and Dentistry” of the Ministry of Healthcare of the Russion Federation, Delegatskay str., 20\1, Moscow, 127473, Russia

    Keywords: Newborn intestinal obstruction, interventional methods of ultrasound, hydrocolonic sonography

    Abstract: The main methods of diagnostics newborn intestinal obstruction (NIO) is radiological. Ultrasonography (US) plays a supporting role when carrying out differential diagnostics.
    Purpose: to estimate possibilities of diagnostics and treatment of children with NIO and its complications with use special interventional methods of US.
    Methods: Retrospective study of results of the treatment children with NIO operated in the Arkhangelsk children’s hospital in 1998-2012 was conducted, in 62 the protocol of investigation included special US methods. Two groups were compared: 1st (n=44) for the purpose of diagnostics of NIO and its reasons special US methods (US of the stomach with contrasting by fluid, hydrocolonic sonography (HS)) and X-RAY carried out, 2nd (n=44) were only radiological investigations. In both groups timeliness of establishment of the diagnosis and a postoperative lethality were estimated.
    Results: All types of NIO and their complications had direct signs (visualization of the atresia, volvulus, exudate at peritonitis, violation of a passage in underlying departments of a gastrointestinal tract) and indirect US signs allowing to make a conclusion about obstruction reason. In the 1st group the diagnosis of NIO was significantly more often made in time (p <0,001), statistically significantly was less often observed lethal outcome, than in patients of the 2nd group (p <0,001).

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    Full text is published :
    Yanitskaya M. Y., Sapozhnikov V. G., Poddubnyi I. V. Diagnostics and treatment of newborn intestinal obstruction with use of methods of interventional ultrasound. Experimental and Clinical Gastroenterology. 2019;171(11): 64–71. (In Russ.) DOI: 10.31146/1682-8658-ecg-171-11-64-71
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