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Whipple's illness, intestines lymphangiectasia, Uolmap's illness, idiopathic diffusion defeat of mucous - 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
WHIPPLE'S ILLNESS

 

Only one case of the child of this rare illness is described. Assume that the activator is the rhabdoid bacterium. At this disease many bodies and systems of an organism are surprised, but anyway the small bowel is involved in process owing to what there is malabsorption. The arthralgia, fever and a polyserositis are often observed. The biopsy of a duodenum reveals accumulations of PAS positive macrophages, in own plate it is possible to see bacilli. Antibiotics give very good effect, but it is necessary to enter them a long time.

INTESTINES LYMPHANGIECTASIA

 

This inborn defect of lymphatic system can strike considerable part of intestines, causing a steatorrhea, a proteinaceous and scarce enteropathy, hypostases and a lymphopenia. Vsasyvatelny function (except for absorption of fats with a long chain) usually is not broken. Meal with the low content of such fats can reduce losses through intestines; the specified fats can be replaced with triglycerides with an average chain as they are transported by portal system.

UOLMAN'S ILLNESS

 

This lipidosis which is seldom found and coming to an end with a lethal outcome is shown by accumulation of lipids in many
bodies, including a small bowel. Except vomitings and a gepatosplenomegaliya, the steatorrhea caused by obstruction of absorbent vessels is observed.

IDIOPATHIC DIFFUSION DAMAGE OF THE MUCOUS MEMBRANE OF THE SMALL BOWEL

 

At some children suffering from long heavy malabsorption, the clinical picture does not keep within a framework of the known diseases. In such cases it is necessary to think of two syndromes which cornerstone damage of a mucous membrane of a small bowel is.
The "total" malabsorption arising right after the birth and causing heavy diarrhea and insufficiency of food is characteristic of a family enteropathy. Inability to support normal balance of feedstuffs does such patient completely dependent on parenteral food. In bioptata of a duodenum the sharp flattening of fibers (fig. 12-19,B) comes to light. Unlike a gluten illness of a crypt are not extended, and mitotic activity, apparently, is reduced. Family character of a disease at the heart of which as believe, defect of regeneration of an intestinal epithelium lies is in most cases traced. Despite an intensive maintenance therapy and use of corticosteroids, most of patients perishes.
Other rare idiopathic syndrome — permanent defeat of fibers — causes the expressed chronic malabsorption at the earliest age. Heavy generalized disturbance of absorption arises in several months after the birth against a good shape of the child. In the beginning usually suspect an acute infectious disease, but process lasts many months, even years. Dietary measures do not influence disease. A morphological feature of a disease is shortening of fibers; as well as at a gluten illness, crypts are extended, numerous mitoses are noted. Corticosteroids can give a positive effect.



 
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