logo
Medical news
of the North Caucasus
Scientific journal
Mass media registration certificate dated December 7, 2006.
Series ПИ #ФС 77-26521.
Federal service for surveillance over non-violation of the legislation in the sphere of mass communications and protection of cultural heritage.
ISSN 2073-8137
rus
русский
eng
english

Site search



Correspondence address
310 Mira Street, Stavropol, Russia, 355017

Tel
+7 865 2352511, +7 865 2353229.

E-mail
medvestnik@stgmu.ru

The interconnection acid-base blood balance and dysbiosis in children with chronic constipation

[Surgery]
Igor Kirgizov; Sergey Minaev; Alexandr Kachanov;

Interconnection of correlations of the acid-base blood balance with dysbiosis in 121 children with chronic constipation was found in the study. Metabolic acidosis is revealed with a high lactate concentration, emaciation of the organism buffer systems on the lowering background of main blood electrolytes and dehydration. And in its turn it takes place on the marked translocation of the intestinal microflora. The largest changes in the acid-base balance can be considered as a factor of the critical conditions in case of decompensated form of chronic constipation in this group of patients. The exposed changes must be taken into account not only while carrying out the intensive therapy of the occurred complications, but in case of conducting of conservative methods of correction of the disease. The lactate level in the blood can serve as a criterion of the efficiency of the operation in children with chronic constipation. Also it can be testify to the development of critical conditions.

Download

References:
1. Athanasakos E. P., Kemal K. I., Malliwal R. S., Scott S. M., Williams N. S. [et al.] Clinical and psychosocial functioning in adolescents and young adults with anorectal malformations and chronic idiopathic constipation. Br. J. Surg. 2013;100(6):832-839. doi: 10.1002/bjs.9111
2. Choung R. S., Shah N. D., Chitkara D., Branda C., Megan E. [et al.] Direct medical costs of constipation from childhood to early adulthood: a population-based birth cohort study. J. Pediatr. Gastroenterol. Nutr. 2011;52:47-54. doi: 10.1097/MPG.0b013e3181e67058
3. Howarth L. J., Sullivan P. B. Management of chronic constipation in children. Paediatrics and Child. Health 2016;26(10):415-422. doi: 10.1016/j.paed.2016.06.007
4. Kiefte-de Jong J. C., Escher J. C., Arends L. R., Jaddoe V. W. V., Hofman A. [et al.] Infant nutritional factors and functional constipation in childhood: the generation R study. Am. J. Gastroenterol. 2010;105:940-945. doi: 10.1038/ajg.2010.96
5. Kirgizov I. V., Minaev S. V. The ultrasonic way of the intraoperative assess of the resection volume of colon in children with chronic constipation. Medical News of North Caucasus. 2014;9(2):125-128. doi: 10.14300/mnnc.2014.09035
6. Kirgizov I. V., Minaev S. V., Gladkiy A. P., Shishkin I. A., Shahtarin A. V. [et al.] Multicenter research of persistent cloacal malformation surgery in children. Medical News of North Caucasus. 2014:9(4):295-299. doi: 10.14300/mnnc.2014.09083
7. Levitt M. A., Peña A. Pediatric fecal incontinence: a surgeon’s perspective. Pediatr. Rev. 2010;31:91–101. doi: 10.1542/pir.31-3-91
8. Minaev S. V., Kirgizov I. V., Gladkyy A., Shishkin I., Gerasimenko I. Outcome of Laparoscopic Treatment of Anorectal Malformations in Children. World J. Surg. 2017;41(2):625–629. doi: 10.1007/s00268-016-3699-3
9. Pacilli M., Pallot D., Andrews A., Downer A., Dale L. [et al.] Use of Peristeen transanal colonic irrigation for bowel management in children: A single-center experience. J. Pediatr. Surg. 2013;(49)2:269-272. doi:10.1016/j.jpedsurg.2013.11.036
10. Peeters B., Benninga M. A., Hennekam R. C. Childhood constipation; an overview of genetic studies and associated syndromes. Best Pract. Res. Clin. Gastroenterol. 2011;25:73-88. doi: 10.1016/j.bpg.2010.12.005
11. Pijpers M. A., Bongers M. E., Benninga M. A., Berger M. Y. Functional constipation in children: a systematic review on prognosis and predictive factors. J. Pediatr. Gastroenterol. Nutr. 2010;50:256-268. doi:10.1097/MPG.0b013e3181afcdc3
12. Russell K. W., Barnhart D. C., Zobell S., Scaife E. R., Rollins M. D. Effectiveness of an organized bowel management program in the management of severe chronic constipation in children. Journal of Pediatric Surgery. 2015;50(3):444-447. doi: 10.1016/j.jpedsurg. 2014.08.006
13. Shaman R., Manjuri D. N. Constipation in children: novel insight into epidemiology, pathophysiology and management. J. Neurogastroenterol. Motil. 2011;17(1):35-47. doi: 10.5056/jnm.2011.17.1.35
14. Sullivan P. B., Alder N., Shrestha B., Turton L., Lambert B. Effectiveness of using a behavioural intervention to improve dietary fibre intakes in children with constipation. J. Hum. Nutr. Diet. 2011;25:33-42. doi: 10.1111/j.1365-277X.2011.01179.x
15. Tabbers M. M., Boluyt N., Berger M. Y., Benninga M. A. Clinical practice. Eur. J. Pediatr. 2011;170 (8):955–63. doi: 10.1007/s00431-011-1515-5
16. Valitutti F., Rybak A., Saliakellis E., Lindley K., Pensabene L. [et al.] Colonic manometry parameters can predict the outcome of the surgical ostomy formation in children with intractable constipation. Digestive and Liver Disease. 2016;48:e254-e254. doi: 10.1016/j.dld.2016.08.035
17. Yamataka A., Goto S., Kato Y., Koga H., Lane G. [et al.] Fecal and urinary continence after scope-assisted anorectovaginoplasty for female anorectal malformation. Pediatric Surgery International 2012;28(9):907-912. doi:10.1007/s00383-012-3141-3
18. Youssef N. N., Langseder A. L., Verga B. J. Chronic childhood constipation is associated with impaired quality of life: a case-controlled study. J. Pediatr. Gastroenterol. Nutr. 2005;41:56-60.

Keywords: chronic constipation, dysbiosis, acid-base blood balance, children


Founders:
Stavropol State Medical Academy
Pyatigorsk State Research Institute of Balneotherapeutics
Pyatigorsk State Pharmaceutical Academy