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Syndrome of "a congestive loop" - Diseases of digestive organs at children

Table of contents
Diseases of digestive organs at children
Oral cavity
Diseases of teeth
Malformations of the sky and soft tissues of an oral cavity
Diseases of a mucous membrane of an oral cavity and gums
Diseases of lips and language
Sialadens
Digestive tract
Basic reasons of gastrointestinal frustration
Gullet
Atresia and esophageal and tracheal fistula
Guttural and tracheal and esophageal crevice, inborn stenosis of a gullet
Other diseases of a gullet
Stomach and intestines
Peptic ulcer
Inborn hypertrophic pyloric stenosis
Inborn impassability of intestines
Inborn impassability of a duodenum
Disturbances of turn of intestines
Inborn impassability of a small bowel
Inborn megacolon
Diverticulums and duplikatura
The acquired impassability of intestines
Intestines invagination
Foreign bodys of a stomach and intestines
Motive frustration. stomach and intestines
Anomalies of a structure of anorectal area
Infectious diseases of intestines
Nonspecific ulcer colitis
Illness Krone
Necrotic coloenteritis of newborns
The coloenteritis connected with treatment by antibiotics
Gastrointestinal symptoms of anaphylactoid purpura, gemolitiko-uraemic syndrome
Intolerance of food proteins
Eosinophilic gastroenteritis
Absorption disturbance syndromes
Malabsorption
Immunodeficiency and intestines
Syndrome of "a congestive loop"
Syndrome of a short small bowel
Gee's disease
Sprue after acute enteritis
Tropical to a spr
Whipple's illness, intestines lymphangiectasia, Uolmap's illness, idiopathic diffusion defeat of mucous
Enzymopathies and disturbances of mechanisms of transport of nutrients
Irritable colon
Acute appendicitis
Diseases of an anus, direct and large intestine
Tumors of a digestive tract at children
Hernias of a digestive tract at children
Exocrine part of a pancreas
Pancreatitis
Embryonic development of structure and function of a liver
Diagnosis of diseases of a liver
Cholestatic states at babies
Parenchymatous jaundices at children of chest age
Disturbances of a metabolism of a liver and zhelchevydelitelny system
Anomalies of a structure of bilious ways
Cysts of bilious channels
Cholestasia and diseases of a liver connected with completely parenteral food
Medicinal damage of a liver
Ray's syndrome
Chronic hepatitis
Wilson's illness — Konovalova
Indian juvenile cirrhosis
Damages of a liver at chronic colitis
Cirrhosis and chronic liver failure
Portal hypertensia and varicosity of a gullet
Fatty infiltration of a liver
Cholecystitis
Peritoneum diseases
Peritonitis
Peritoneum hernias
SYNDROME OF "THE CONGESTIVE LOOP"

This term designates states at which there is a stagnation of contents in a small bowel, especially in its proximal part. Usually incomplete impassability owing to inborn (the wrong turn of intestines in combination with duodenal commissures, an intestinal stenosis, diverticulums) or acquired (postoperative commissures, an illness Krone) anomalies is the reason of stagnation. The expressed stagnation can be a consequence of neuromuscular dysfunction at which coordination of peristaltic movements is broken (pseudo-impassability of intestines, a myopathy of hollow bodies). Irrespective of an etiological factor pathophysiological mechanisms of this syndrome are similar. Weakening of a vermicular movement leads to incomplete purgation from bacteria owing to what they occupy upper part of a small bowel. These bacteria dekonjyugirut salts of bile acids and thus interfere with emulsification and absorption of fats; besides, bacteria connect B12 vitamin, stirring it assimilation, damage a surface of a brush border of enterocytes, suppressing these activity of disaccharidases.
In addition to the known signs of partial obstruction of intestines, such as increase in a stomach, pain and vomiting, are noted decoloured, with a putrefactive smell plentiful in kcal (that indicates a steatorrhea), megaloblastichesky anemia owing to deficit of B12 vitamin and even the diarrhea causing decrease of the activity of disaccharidases. Often clinical picture is not characteristic of chronic impassability of intestines, and the datas of laboratory only described above (in combination with bacterial colonization of upper part of a small bowel and availability of dekonjyugirovanny bilious salts after reception of greasy food) indicate a syndrome of a congestive loop. X-ray contrast research in such cases not always establishes impassability and its reason.
Treatment comes only after surgical correction of partial obstruction of intestines. The temporary effect gives use of small doses of antimicrobic means, such as Trimethoprimum combination with sulfamethoxazole.



 
"Diseases of bodies of an urinary system at children   Diseases of the lacrimal bodies"