Dyskinesia biliary tract in children


  • Symptoms Discinesia
  • Additional research methods

  • Dyskinesia biliary tract in children – This is the most common pathology of the biliary system. Term «Discinesia» literally translates as «Motion Disorders» and denotes an abnormal, non-coordinated function of smooth muscles. A term «Biliary» Comes from the word Bilis – bile and corresponds to the concept «bile». Often in medical literature and documentation can be found abbreviation «Jvp». Often dyskinesia of biliary tract in children is not diagnosed soon, and this leads to late treatment of patients and makes it difficult to prevent complex diseases of the digestive organs in adults. In recent years, recognized the fact that JVP – not primary disease, but one of the clinical manifestations of one or another more serious pathology of the upper digestive tract (gastroduodenitis, ulcerative disease, pancreatitis, etc.).

    Violations of the motor function and activities of sphincters (compressive muscles) of the apparatus of biliary tract underlie the development of bold stagnation. Conditions of bile (cholestasis) bile circulation disorders in the liver and in the intestine, change in the physicochemical properties of the germ itself and its components. Cholestasis contributes to a decrease in the bactericidal properties of bile, which contributes to a lighter intestinal population with helminths.

    Dyskinesia of biliary tract in childhood is observed more often in the form of hypertensive or mixed form, less – hypotonic.

    Symptoms Discinesia

    With hypertensive form of dyskinesia of biliary tract, children complain about the parodious, stitching pain in the right hypochondrium or in the right side. Young children point to an octopupex zone. I am very rarely observed the irradiation of pain in the right shoulder, the shovel. A rather characteristic symptom for this state – Sharp picker pain in the right side with quick running or fast walking, which is explained by the additional stretching of the capsule and without that enlarged liver with an increased influx of venous blood. This symptom is especially clearly manifested in physical education lessons or in training, during moving games, dancing.

    Dyskinesia biliary tract in childrenThe hypotonic form of dyskinesia of biliary tract is characterized by an almost constant, stupid pain in the right side. Emotional tension, merors in nutrition can enhance pain.

    The indispensable satellite disease is dyspepsia. Children decreases appetite, they are often worried about nausea. Often small patients do not tolerate fatty and sweet food: after her use, they appear nausea and vomiting. Sometimes older children complain about the bitter taste in the mouth. A unstable stool appears.

    When examining, the doctor reveals the diseases of the disease during palpation in the right hypochondrium, the strengthening of pain when tapping the edge of the palm along the edge of the rib arc. Most children increase the liver and its edge is torn to 1-2 cm below the rib arc.

    Additional research methods

    Diagnostics is based on the analysis of complaints, inspection data and results of additional research methods.

    During a pronounced exacerbation in biochemical analysis of blood, an increase in the level of hepatic enzymes (alkaline phosphatase, etc.).

    The valuable diagnostic method for this pathology is ultrasound research. Ultrasound allows you to identify the nature of motor violations of the gallbladder, diagnose the anomalies of biliary tract (inflection, twist and others.). Very often, it is precisely such features of the structure of the biliary tract or gallbladder and are the immediate cause of diskinesium.

    It is advisable to hold a child fractional duodenal probing. Changing indicators in various portions of bile depend on the type of diskinesia. In most cases, the bile microscopy detect a violation of the colloidal equilibrium of the bile (increase in the number of cholesterol crystals, calcium of the billarinate). Very often in children in bile find parasites – Vegetative forms of Giardia, Eggs of opistarkhis, Stroingyloides StercoRalis larvae and others.

    X-ray tests of the biliary system in children are rarely held and only by strict indications.

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