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 8652 352524; +7 8652 353229.

Fax
+7 8652 352524.

E-mail
medvestnik@stgmu.ru

The ultrasonic way of the intraoperative assess of the resection volume of colon in children with chronic constipation

[Original research] [Surgery]
Igor Kirgizov; Sergey Minaev;

Research of 30 histological specimen of colon (autopsy material of normal colon wall) allows differentiating 5 layers in its wall. At intraoperative ultrasonic research of a colon wall in patients with chronic constipation, specific changes like hyperechoic inclusions in a wall structures are taped, that allows to define a degree of the specified changes and thereby resection level. Bench ultrasonic researches of various departments and colon sites, carried out on 30 histological specimens of colon, consisted of autopsy material gives rather detailed picture of the wall structure of an organ. The most important characteristics of the examined parts are the thickness of every layer and its echogenicity. During operations in 11 patients with decompensated forms of the chronic constipation, we managed to carry out an intraoperative ultrasonic diagnostics of the colon wall that was very important for differentiation of the changed parts of the organ, which required resection. With ultrasonic examination of the changed structure of the organ, special attention should be paid to the authentic increasing of the thickness of muscular layer of colon wall in a proximal way and decreasing of the submucous and subserous membranes thickness.

Download

References:
1. Kavehmanesh Z., Saburi A., Maavaiyan A. Compar¬ison of body mass index on children with functional constipation and healthy controls. J. Family Med. Prim. Care. 2013;2(3):222-226. doi: 10.4103/2249- 4863.120715.
2. Burgers R., de Jong T. P., Benninga M. A. Rectal examination in children: digital versus transabdominal ultrasound. J. Urol. 2013;190(2):667-672. doi: 10.1016/j.juro.2013.02.3201.
3. Momotov A. A. Colostasis in children. Klin. Khir. 2007;(9):25-27.
4. Ramesh J., Bang J. Y., Trevino J., Varadarajulu S. Endoscopic ultrasound-guided drainage of pancreatic fluid collections in children. J. Pediatr. Gastro¬enterol. Nutr. 2013;56(1):30-35. doi: 10.1097/MPG. 0b013e318267c113.
5. Lenyushkin A. I. Children proctology Medicine. Moscow; 1999, 400 p.
6. Agarwal J. Chronic constipation. Indian J. Pediatr. 2013;80(12):1021-1025. doi: 10.1007/s12098-013- 1133-5.
7. Kirgizov I., Prudnikova T., Abayhanov R., Aprosimov M., Minaev S. et al. Surgical treatment of the rectal forms of Hirshprungs disease in children. 4th World Congress of Pediatric Surgery. Abstract book. Berlin, Germany 13 – 16 October; 2013:7/3.
8. Haji A., Adams K., Bjarnason I., Papagrigoriadis S. High-frequency mini probe ultrasound before endoscopic resection of colorectal polyps – is it useful? Dis. Colon Rectum. 2014;57(3):378-382. doi: 10.1097/ DCR.0b013e3182a0e39c.
9. Gijsbers C.F., Benninga M., Büller H. Clinical and laboratory findings in 220 children with recurrent abdominal pain. Acta Paediatr. 2011;100(7):1028-1032. doi: 10.1111/j.1651-2227.2011.02179.x.
10. Burr A., Renaud E. J., Manno M., Makris J., Cooley E. et al. Glowing in the dark: time of day as a determinant of radiographic imaging in the evaluation of abdominal pain in children. J. Pediatr. Surg. 2011;46(1):188- 191. doi: 10.1016/j.jpedsurg.2010.09.088.
11. Nicolau A. E., Merlan V., Dinescu G., Crăciun M., Kitkani A., Beuran M. Perforation of hollow organs in the abdominal contusion: diagnostic features and prognostic factors of death. Chirurgia (Bucur). 2012;107(2):162-168.
12. Tappin D., Nawaz S., McKay C., MacLaren L., Griffiths P., Mohammed T. A. Development of an early nurse led intervention to treat children referred to secondary paediatric care with constipation with or without soiling. BMC Pediatr. 2013;13:193. doi: 10.1186/1471-2431-13-193.
13. Minaev S. V., Kirgizov I. V., Obedin A. N., Isaeva A. V., Bolotov Yu. N. et al. Monitoring of inflammatory complications development in the newborns with congenital pathology of the gastrointestinal tract. Medicinskii Vestnik Severnogo Kavkaza. – Medical News of North Caucasus. 2013;8(2):30-33.
14. Peeraully M. R., Lopes J., Wright A., Davies B. W., Stewart R. J. et al. Experience of the MACE procedure at a regional pediatric surgical unit: a 15-year retrospective review. Eur. J. Pediatr. Surg. 2014;24(1):113-116. doi: 10.1055/s- 0033-1357502.
15. Chogle A., Saps M. Yield and cost of performing screening tests for constipation in children. Can. J. Gastroen¬terol. 2013;27(12):e35-38.

Keywords: a chronic constipation, ultrasound, children


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