86 -3 (31/2) 2020 — Mamajonov U.Sh., Kodirov M.Sh. — EFFICIENCY OF VISUALIZATION METHODS IN ASSESSING ANAL SPHINCTER FUNCTION IN CHRONIC COLOSTASIS IN CHILDREN

EFFICIENCY OF VISUALIZATION METHODS IN ASSESSING ANAL SPHINCTER FUNCTION IN CHRONIC COLOSTASIS IN CHILDREN

Mamajonov U.Sh. -Andizhan state medical institute.

Kodirov M.Sh. -Andizhan state medical institute.

Zaynobiddinova S.Sh. -Andizhan state medical institute.

Juraeva D.M. -Andizhan state medical institute.

Resume

The article presents the results of a prospective study of 32 children, hospitalized examinations and treatment of chronic constipation in the surgical department                      of  the Andijan Regional          Children’s Multidisciplinary Center. 12 children were with fecal obstruction, and 20 without it. All children underwent a study of colon markers with the first anal endosonography. A symptom severity scale questionnaire was also used to assess constipation and fecal incontinence. The average thickness of the internal anal sphincter according to sonography was 0.93 mm. The total colonic transit was 45.97 hours. Anorectal endosonography and colon transit studies provide a non-invasive objective assessment of the diagnosis and severity of chronic idiopathic colostasis and fecal incontinence in children.

Key words: chronic colostasis, sonography, colonic transit, children.

First page

364

Last page

367

For citation: Mamajonov U.Sh., Kodirov M.Sh., Zaynobiddinova S.Sh., Juraeva D.M., Efficiency of visualization methods in assessing anal sphincter function in chronic colostasis in children//New Day in Medicine 3(31)2020 364-367 https://cutt.ly/HxDL2Sc

List of References

1. Бозоров Ш.Т., Туракулов З.Ш., Тошбоев Ш.О. Оценка эф­фективности одноэтапной коррекции свищевых форманорек- тальных пороков развития у новорожденных //Новый день в медицине.-2019.-№4(28).-С.136-139
2. Ким Л.А, Ленюшкин А.И., Панин А.П. и.др. Новые аспекты диагностики и лечения детей с хроническими запорами // Детская хирургия.-2011.-№2.-С.18-20
3. Киргизов И.В., Ленюшкин А.И., Дударев В.А. Состояние сис­темы гемостаза и иммунитета у детей с хроническим толсто­кишечным стазом //Детская хирургия.-2011.-№5.-С.30-43
4. Лаптев Л.А, Боровицкий В.А, Звездкина Е.А. К вопросу ди­агностики причин хронических запоров у детей //Детская хирургия.-2006.-№2.-23-26
5. Раупов Ф.С. Резекция толстого кишечника и возможнее пос- леоперационныеосложнения у детей //Новый день в медици- не.-2020.-№1(29).-С321-323
6. Шептулин,АА, Курбатова АА Новые Римские критерии функциональной диспепсии IV пересмотра //Рос. Журн. Гаст- роэнтерол. Гепатол. Колопроктол.-2016.-№26(4).-С.124-128
7. Chaussade S., Khyari A., Roche H. et al. Determination of total and segmental colonic transit time in constipated patients. Results in 91 patients with a new simplified method //Dig. Dis. Sci.-2009.- №34.-Р.1168-1172
8. Clayden G.S., Keshtgar AS., Carcani-Rathwell I. et al. The management of chronic constipation and related faecal incontinence in childhood //Arch. Dis. Child. Pract.-2015.-№90.- Р.9-12
9. Cucchiara S., Coremans G., Staiano A. et al. Gastrointestinal transittime and anorectal manometry in children with fecal soiling //J.Pediatr. Gastroenterol.Nutr.-2014.-^^3.-Р.545-550
10. de Souza N.M., Gilderdale D.J., MacIver D.K. et al. High- resolution MR imaging of the anal sphincter in children: a pilot study using endoanal receiver coils //Am. J. Roentgenol.- 2017.- №169.-Р.201-206
11. Drossman D.A., Hasler W.L. Rome IV – Functional GI disorders: disorders of gut-brain interaction //Gastroenterology.- 2016.- №150(6).-Р.1257-1261
12. Gutierrez C., Marco A., Nogales A. et al. Total and segmental colonic transit time and anorectal manometry in children with chronic idiopathic constipation //J. Pediatr. Gastroenterol. Nutr.- 2012.-№35.-Р.31-38
13. Keshtgar A.S., Sanei A., Ward H.C. Anorectal manometry data analysis software for Windows in clinical practice //Presented at 15th International Research Symposium in Pediatric Surgery, Marseille, 3-4 October; 2013
14. Keshtgar A.S., Ward H.C., Clayden G.S. et al. Thickening of the internal anal sphincter in idiopathic constipation in children / /Pediatr. Surg. Ы-2014.-№20.-Р.817-823
15. Loening-Baucke V. Functional fecal retention with encopresis in childhood //J. Pediatr. Gastroenterol. Жй.-2014.-№38(1).-Р,79- 84
16. Loening-Baucke V., Yamada T. Is the afferent pathway from the rectum impaired in children with chronic constipation and encopresis? //Gastroenterology. -2015.-№109.-Р.397-403
17. Metcalf AM., Phillips S.F., Zinsmeister AR, et al. Simplified assessment of segmental colonic transit //Gastroenterology.- 1987.№92.-С.40-47
18. Papadopoulou A., Clayden G.S., Booth I.W. The clinical value of solid marker transit studies in childhood constipation and soiling //Eur. J. Pediatr. -2014.-№153.-Р.560-564
19. van den Berg M.M., Benninga M.A., Di Lorenzo C. Epidemiology of childhood constip ation: a systematic review //Am J. Gastroenterol. -2016.-№101.-Р.2401-2409
20. Yik Y.I., Cain T.M., Tudball C.F. et al. Nuclear transit studies of patients with intractable chronic constipation reveal a subgroup with rapid proximal colonic transit //J. Pediatr. Surg.-46.-Р.1406- 1411.
21. Zaslavsky C., da Silveira T.R., Maguilnik I. Total and segmental colonic transit time with radio-opaque markers in adolescents with functional constipation //J. Pediatr. Gastroenterol. Nutr.- 2008.-№27.-Р138-142ъ

86-364-367-3-31-2020-