Diagnosis and treatment of chronic colostasis in children with dolichosigmoid

TL;DRAbstract

Aim. To choose the proper tactics of constipation diagnosis and treatment in children with dolichosigmoid. Methods. 75 patents with various colonic diseases featured by constipation, were treated, dolichosigmoid was diagnosed in 36 (48%). All patients with dolichosigmoid were distributed to 3 groups. The first group included 22 (61.1%) patients with compensated stage, the second group - 9 (25%) with subcompensation, the third group included 5 (13.9%) patients with decompensated stage. The diagnosis was performed by anamnesis and results of clinical and laboratory examinations (blood analysis, urinalysis, stool analysis, intestinal microbiota test), fibrocolonoscopy was performed in 13 (36.1%), radiologic examination of colon - in 36 (100%), barium follow-through test - in 36 (100%), multispiral computed tomography with contrast media and virtual colonoscopy with 3D-reconstruction - in 8 (22.2%), sphincterometry - in 13 (36.1%), morphological examination of the biopsy samples obtained a

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