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Relative exocrine pancreatic insufficiency in children

https://doi.org/10.21518/2079-701X-2013-1-1-20-23

Abstract

Reduction of digestive function of pancreas, relative or absolute, can be observed at many diseases of gastrointestinal tract. A common case of the disease in children is characterized by relative pancreatic insufficiency at which pancreas is not damaged and functions well, but there are certain factors that prevent enzymes from fully performing their function. It is usually neither obvious nor clearly manifested, without typical symptoms, and diagnosed only by laboratory examination. The underlying disease and its symptoms are usually more pronounced. Various diseases of gastrointestinal tract are often accompanied by relative insufficiency of exocrine pancreatic function; enzyme medicines are recommended in complex therapy of the diseases.

About the Author

A. I. Havkin
РАЕН, ФГБУ «Московский НИИ педиатрии и детской хирургии Минздрава России»
Russian Federation


References

1. Белоусова Е.А., Златкина А.Р. Синдром мальабсорбции (патофизиология, клиника, лечение): пособие для практических врачей. – М., 1998. – 28 с.

2. Бельмер С.В., Гасилина Т.В. Нарушение пищеварительных функций поджелудочной железы у детей: учебно-методическое пособие. – М., 2006. – 40 с.

3. Коровина Н.А., Захарова И.Н., Малова Н.Е. Экзокринная недостаточность поджелудочной железы // Вопросы современной педиатрии. – 2003. – Т.2. – №5.

4. Гастроэнтерология детского возраста / под ред. С.В. Бельмера и А.И. Хавкина. – М.: ИД Медпрактика, 2010. – 560 с.

5. Gschwantler M. et al. The pancreas as a site of granulomatous inflammation in Crohn’s disease. Gastroenterol 1995. 108: 1246–1249.

6. Lankisch P.G., Schidt I., Konig H. et al. Измерение панкреатической эластазы-1 не помогает в диагностике хронического панкреатита с легкой и средней степенью недостаточности экзокринной функции поджелудочной железы. Gut 1998; 42: 551–4.

7. Nissler K., Von Katte I., Huebner A. et al. Pancreatic Elastase 1 in Feces of Preterm and Term Infants. J of Pediatric Gastroenterology and Nutrition 2001; 33: 28–31.


Review

For citations:


Havkin AI. Relative exocrine pancreatic insufficiency in children. Meditsinskiy sovet = Medical Council. 2013;(1-1):20-23. (In Russ.) https://doi.org/10.21518/2079-701X-2013-1-1-20-23

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ISSN 2079-701X (Print)
ISSN 2658-5790 (Online)