Functional disorders of the biliary tract. What a pediatrician needs to know
https://doi.org/10.21518/2079-701X-2018-11-91-102
Abstract
According to the frequency of contact with a doctor, abdominal pain in children is second only to respiratory diseases. Since the pain syndrome is a nonspecific manifestation of various pathologies, the doctor faces a serious diagnostic task, which is especially difficult in pediatric practice. One of the frequent causes of abdominal pain in children is a disruption of the function of the digestive tract, in particular, the dysfunction of the billiard tract. The article considers etiopathogenetic mechanisms of development of functional disorders of the biliary tract in children, classification in the light of the Rome IV consensus, modern low-invasive methods for diagnosing dysfunctions of the biliary tract. The ultrasound of the hepatobiliary zone was assessed. Questions are given for self-control.
About the Authors
I. N. Zakharova
Russian Medical Academy of Continuing Postgraduate Education of the Ministry of Health of Russia
Russian Federation
Russian Federation
M. I. Pykov
Russian Medical Academy of Continuing Postgraduate Education of the Ministry of Health of Russia
Russian Federation
Russian Federation
I. V. Berezhnaya
Russian Medical Academy of Continuing Postgraduate Education of the Ministry of Health of Russia
Russian Federation
Russian Federation
N. G. Sugyan
Russian Medical Academy of Continuing Postgraduate Education of the Ministry of Health of Russia;
Children’s City Outpatient Clinic No 133 of the Moscow Department of Health
Russian Federation
Russian Federation
G. E. Zaidenvarg
Russian Medical Academy of Continuing Postgraduate Education of the Ministry of Health of Russia
Russian Federation
Russian Federation
E. P. Radchenko
Z.A.Bashlyaeva Children’s City Clinical Hospital З.А. of the Moscow Department of Healthcare
Russian Federation
Russian Federation
L. L. Stepurina
Russian Medical Academy of Continuing Postgraduate Education of the Ministry of Health of Russia
Russian Federation
Russian Federation
References
1. Ilchenko AA. Diseases of the gallbladder and biliary tract. A guide for doctors. 2nd ed., revised. and added. M.: Medical News Agency, 2011.
2. Lewis M L, Palsson O S, Whitehead W E, van Tilburg M A. Prevalence of Functional Gastrointestinal Disorders in Children and Adolescents. J Pediatr, 2016 May 4. pii: S0022-3476(16)30056-7. [Epub ahead of print].
3. Bielefeldt K. The rising tide of cholecystectomy for biliary dyskinesia. Aliment Pharmacol Ther, 2013 Jan, 37(1): 98-106. doi: 10.1111/ apt.12105. Epub 2012 Oct 28.
4. Drossman D A, Hasler W L. Rome IV-Functional GI Disorders: Disorders of Gut-Brain Interaction. Gastroenterology, 2016, 150(6): 1257-61.
5. Stanghellini V, Chan F CL, Hasler W L et al. Gastroduodenal disorders. Gastroenterology, 2016, 150: 1380-92.
6. Ivashkin VT, Maev IV, Baranskaya EK [et al]. The Russian Gastroentero logical Association Guidelines for the Diagnosis and Treatment of Cholelithiasis. Rossiyskiy Zhurnal Gastroenterologii, Gepatologii, Koloproktologii, 2016, 3: 64-80.
7. Zaprudnov AM, Kharitonova LA. Biliary pathology in children. M.: Medical Information Agency, 2008. 376 p.
8. Paigen B, Carey MC. Gallstones. IN: The genetic basis of common diseases, 2nd Edition Oxford University Press, 2002: 298-335.
9. Katsika D, Griibovski A, Einarsson C, et al. Genetic and environmental influences on symptomatic gallstone disease. Hepatology, 2005, 41(5): 1138-1143.
10. Sarin SK, Negi VS, Dewan R et al. High familial prevalence of gallstones in the first-degree relatives of gallstone patients. Hepatology, 1995, 22(1): 138-41.
11. Drossman DA. Functional gastrointestinal disorders: history, pathophysiology, clinical features, and Rome IV. Gastroenterology, 2016, 150(6): 1262–1279.
12. Privorotsky VF, Luppova NE, Rumyantseva IV. Diseases of the bile excretory system in children (etiology, pathogenesis, clinical picture, diagnosis, treatment): Textbook. SPb.: SPbMAPO, 2004. 2nd ed., updated and revised. 77 p.
13. Dumova NB, Privorotsky VF, Luppova NE, Redozubo EV. Gallstone disease in children: modern concepts, treatment options and prevention. Gastroenterologiya Sankt-Peterburga, 2008, 1: 25-30
14. Van Oudenhove L, Levy RL, Crowell MD, et al. Bio-psychosocial aspects of functional gastrointestinal dis-orders: how central and environmental processescontribute to the development and expression of func-tional gastrointestinal disorders. Gastroenterology, 2016, 150: 1355–1367.
15. Kotovsky AV, Sirotin EA. The importance of psychoemotional factors in the development of the digestive system diseases in children. Materials of the XI Congress of Children’s Gastroenterologists of Russia. 2004: 32-33.
16. Maev IV, Vyukinova ES, Levchenko OB. Dysfunction of the biliary tract: from pathogenesis to the choice of optimal therapy. RMJ, 2011, 28: 1736-1741.
17. Pykov MI, Izzatdust FN, Korovina NA, Zakharova IN, Shishkina SV. Dynamic examination of the motor function of the gall bladder in children. Ultrazvukovaya i Funktsionalnaya Diagnostika, 2006, 1: 76-82.
18. Maev IV, Vyukhnova ES, Levchenko OB. Dysfunction of the biliary tract: from pathogenesis to the choice of optimal therapy. RMJ, 2011, 28: 1736-1741.
19. Dolgova VV. Clinical laboratory diagnostics. National guidlines in two volumes. Edited by Dolgov VV. Moscow: GEOTAR-Media, 2012
20. Klykova EV. The condition of the stomach and duodenum motility and evaluation of the effectiveness of various treatment regimens for patients with functional dyspepsia: dissertation of PhD in medicine. M., 2002. 158 p.
21. Korovina NA, Zakharova IN, Shishkina SV, Izzadust FN. Dysfunctional disorders of the biliary tract in children. Lechashchii Vrach, 2005, 7.
22. Loranskaya ID, Vishnevskaya VV. The study of the motor function of the bile excretory system and the gastroduodenal zone in the pathology of the biliary tract. RMJ, 2005, 1:
23. Portnoy LM, Denisova LB, Denisov VA, Safiullina IM, Utkina EV. Magnetic resonance cholangiopancreatography: its place in the diagnosis of hepatopancreatoduodenal diseases. Rossiyskiy Zhurnal Gastroenterologii, Gepatologii, Koloproktologii, 2001, 5: 41-50.
24. Bychenkov VG, Mashinsky AA, Belyshev ES, Kharnas SS, Shekhter AI, Lotov AN. The role of magnetic resonance cholangiopancreatography in identifying diseases of liver, biliary tract and pancreas. Meditsinskaya Vizualizatsiya, 2002, 4: 49-56.
25. Taylor ACF et al. Может ли магнитно-резонансная холангиопанкреатография заменить диагностическую эндоскопическую ретроградную холангиопанкреатографию? Клинические перспективы гастроэнтерологии, гепатологии, 2002, 5: 39.
26. Nyree Griffin, Geoff Charles-Edwards, Lee Alexander. Magnetic resonance cholangiopancreatography: the ABC of MRCP. Insights Imaging, 2012, 3: 11–21.
27. Park MS, Yu JS, Lee JH, Kim KW. Value of manganeseenhanced T1- and T2-weighted MR chol-angiography for differentiating cystic parenchymal lesions from cystic abnormalities which communicate with bile ducts. Yonsei Med J, 2007, 48: 1072–1074.
28. Fayad LM, Holland GA, Bergin D et al. Functional magnetic resonance cholangiography (fMRC) of the gallbladder and biliary tree with contrast-enhanced magnetic resonance cholangiography. J Magn Reson Imaging, 2003, 18: 449–460.
Review
For citations:
Zakharova IN, Pykov MI, Berezhnaya IV, Sugyan NG, Zaidenvarg GE, Radchenko EP, Stepurina LL. Functional disorders of the biliary tract. What a pediatrician needs to know. Meditsinskiy sovet = Medical Council. 2018;(11):91-102. (In Russ.) https://doi.org/10.21518/2079-701X-2018-11-91-102
Views:
883
Email this article 