CATAMNESIS OF CHILDREN WITH CHRONIC CONJUGATED JAUNDICE

Abstract

Aim. Was the analysis prospective follow-up data of children undergoing long conjugational jaundice at an early age.

Materials and methods. The analysis of medical documentation data (the form-112) outpatient care, 87 children, 41 of them a boy and 46 girls. All patients in the first three months of life had a clinical and laboratory-confirmed indicators of long conjugational jaundice. All the examinees were divided into 4 main clinical groups according to the periods of childhood: group 1 (1 to 3 years) – 21 children; group 2 (from 4 to 6 years) – 23 of the child; 3 group (7 to 11 years) – 21 children; 4 group (12 to 17 years) – 22 subject. All patients underwent clinical, laboratory and instrumental examinations, sonographic examination of the abdominal cavity in dynamic monitoring, esophagogastroduodenoscopy (EFGDS).

Results. Patients who had at an early age the signs of impaired conjugation of bilirubin, are at risk for the development of the pathology of the gastro-biliary system. The presence of anatomical peculiarities of structure of gall bladder and biliary tract lead to the appearance of clinical manifestations at the age of 4 years and older. Special attention pediatricians and gastroenterologists should be focused on patients of school age where there is a pain syndrome characterized by persistent, regular presence, amid signs violations of the outflow of bile, presence of possible infection with H. pylori, and provoked by defects in the supply. In this period you can observe the appearance and progression of neurological symptoms, often accompanied by pathology of the gastro-biliary system.

 Conclusion. When analysing follow-up data of children who had a protracted conjugational jaundice in the first months of life, it is revealed that everything observed in the different age periods had evidence of violations of the gastrointestinal tract, require continuous long-term dynamic monitoring of a gastroenterologist and pediatrician.