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Cholecystitis - 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

This disease occurs at children seldom.
Etiology. Not calculous cholecystitis arises against acute system diseases, including a streptococcal septicaemia (sometimes in combination with a glomerulonephritis), a typhoid, erizipeloid, salmonelloses, a lambliasis, an ascaridosis, leptospirosis and mephitic diphtheroid gangrenes. Communication of cholecystitis with heavy dehydration and insufficiency of food is possible. The case of an inflammation of a gall bladder at the newborn as a result of an amnionitis is described; cholecystitis was observed also at an illness of Kawasaki.
The cholelithiasis (stones of a gall bladder) — the frequent reason of cholecystitis at children is more senior than 15 years. It occurs at boys seldom. Stones consist generally of cholesterol salts, have small diameter. They are seldom localized in the general bilious channel, however, if the channel is kistozno expanded, their forming is very probable there. Despite relative frequency at children of a hemolitic illness, pigmental stones are found only in 10% operated concerning calculous cholecystitis.
The important role in development of cholecystitis in children of chest and early age is played by anomalies of a vesical channel. Full or partial closing of a gleam of the general bilious channel, and also his cyst concern to them (with a secondary cholangitis).
Clinical manifestations. Symptoms of an inflammation of bilious ways at adults and children are identical, however at the last dyspepsia, a meteorism and intolerance of food are seldom noted in the anamnesis. Temperature increase, morbidity in right hypochondrium, the consolidation palpatorno defined are characteristic. Pain is usually localized in right hypochondrium or in epigastriums, sometimes irradiates to the right infrascapular area. At a cholangitis of the patient can test a strong fever. At children jaundice arises more often than at adults.
Diagnosis. Diagnosing cholecystitis (in the absence of jaundice), the preference should be given to the cholecystography; if the nonfunctioning gall bladder is found, then research needs to be repeated. When function of a bubble is not defined again, the intravenous holangiografiya with the purpose to study a condition of a vesical channel is shown. At jaundice apply radio isotope scanning with 99tts-pirrodoksilidin-glyutamatom.
Treatment. The conventional method of treatment — a cholecystectomia. On the operating table carry out a holangiografiya to define whether the drainage of the general bilious channel is necessary. At acute not calculous cholecystitis (a bubble edema) impose holetsistosty and keep a bubble, however most of surgeons-pediatricians prefer a cholecystectomia.



 
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