Features of Pancreatic Pathology in Children
Journal Title: Гастроентерологія - Year 2016, Vol 4, Issue 62
Abstract
Background. The prevalence of pancreatitis in children with digestive disorders is 5–25 %. Aim of research: to determine the prevalence of pancreatic pathology in children. Material and methods. The research was conducted on the basis of department of gastroenterology of Chernivtsi Regional Clinical Children’s Hospital during 2013–2015. Results. The overall prevalence of chronic pancreatitis in children of Chernivtsi region is 1.8 %. It should also be noted that 66 % of children with chronic gastroduodenitis and 100 % of children with duodenal bulb ulcer had ultrasound changes of pancreas. Signs of chronic pancreatitis were detected in 1 child with celiac disease and 4 children with lactose intolerance; 17 children had identified ultrasound signs of pancreatic fibrosis, and reduced elastase‑1 in stool, which can be considered as signs of chronic pancreatitis; 9 children had identified ultrasound signs of structural changes of pancreas, but the level of elastase‑1 was normal (patients with recurrent pancreatitis); 18 children had no ultrasound changes of pancreas and no deviation in the structure and the level of elastase‑1. Conclusion. The chronic pancreatitis in children is often associated with pain (epigastric paroxysmal pain with frequent changes of pain location), dyspeptic (often manifested by nausea and vomiting) and astheno-vegetative syndromes which are associated with disharmonious physical development. All patients with chronic pancreatitis were revealed to have focal or linear fibrotic changes in the parenchyma of the pancreas, nonspecific changes in coprogram and a significant reduction of elastase‑1 level in blood.
Authors and Affiliations
T. V. Sorokman, O. -M. V. Popelyuk
Keywords
Related Articles
- EP ID EP210240
- DOI 10.22141/2308-2097.4.62.2016.81093
- Views 92
- Downloads 0
Gallbladder Function and Hepatic Structural Changes in Children with Nonalcoholic Fatty Liver Disease
During the last decade, pediatric nonalcoholic liver disease has reached epidemic proportions, becoming one of the most frequent chronic liver diseases in the global child population. Purpose: to study the relationship o...
The role of gender dimorphism in the development and outcome of chronic viral hepatitis
Chronic viral liver diseases still have a leading place in the structure of mortality from hepatobiliary diseases and causes of liver transplantation. Search for factors influencing the progression of fibrosis and the pr...
Breath Tests Application in Order to Improve the Outcomes of Treatment for Celiac Disease
The article presents data from an own study on modern opportunities to improve the effectiveness of treatment of patients with celiac disease (n = 41). All patients were on a gluten-free diet, nonetheless effectiveness o...
The Mechanisms of Development and Approaches to the Treatment of Sphincter of Oddi Dysfunction after Cholecystectomy
The paper considers sphincter of Oddi dysfunction in the patients after cholecystectomy. There are described the pathogenesis and clinical manifestations of this pathology as well as the items on its therapy. The usage o...
Lactose maldigestion in the formation of insulin resistance in obese children with various lactase gene genotypes and methods of treatment
Background. In recent year, the occurrence of obesity and its complicated course increases with epidemic speed, especially among children living in large cities, and the causes of this pathomorphosis remain understudied....