Медицинская литература. Новинки

 

 

 

 

 

 

Эндо-УЗИ панкреатобилиарной зоны у детей: первый опыт

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Цель. Оценить информативность эндоскопического УЗИ (эндо-УЗИ) у детей с заболеваниями органов панкреатобилиарной зоны. Материал и методы. В исследование включены 16 детей с заболеваниями органов панкреатобилиарной зоны, которым выполнено 17 процедур эндо-УЗИ в течение 14 мес. Период наблюдения за пациентами составил 12 мес. Результаты. Эндоскопическое УЗИ оказалось информативным у всех пациентов, у 14 оказало влияние на выбор лечебной тактики. Эндо-УЗИ применяли при холедохолитиазе, аномалии развития панкреатобилиарной зоны, рецидивирующем панкреатите, кистах поджелудочной железы, а также при сочетании этих заболеваний. Осложнений при эндо-УЗИ и вмешательств под контролем метода не было. Заключение. Эндоскопическое УЗИ является перспективным, эффективным и безопасным методом не только у взрослых, но и у детей.

Ключевые слова:
детский возраст, печень, желчный пузырь, поджелудочная железа, двенадцатиперстная кишка, желчные протоки, эндоскопическое УЗИ, эндо-УЗИ, аномалии протоков, холедохолитиаз у детей, панкреатит, киста, childhood, liver, gallbladder, pancreas, duodenum, bile ducts, endoscopic ultrasound, endo-ultrasound, duct anomalies, choledocholithiasis in pediatric patients, pancreatitis, cyst

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Endoscopic Ultrasound in pediatric patients. First experience

Aim. To evaluate the informational content of endoscopic ultrasound in pediatric patients with pancreatobiliary diseases. Materials and methods. The study included 16 patients with pancreatobiliary diseases, who were examined with 17 endoscopic ultrasounds within 14 months. The follow-up was 12 months. Results. Endoscopic ultrasound was informative in all 16 patients and in 14 patients it had an impact on the management. The main diseases that were indications for the examination included choledocholithiasis, pancreatobiliary abnormalities, relapsing pancreatitis, pancreatic cysts, as well as a combination of these diseases. There were no complications during the diagnostic examination as well as during the procedure done under the control of endoscopic ultrasonography. Conclusion. Endoscopic ultrasound is promising, effective and safe not only in adults but also in pediatric patients.

Keywords:
детский возраст, печень, желчный пузырь, поджелудочная железа, двенадцатиперстная кишка, желчные протоки, эндоскопическое УЗИ, эндо-УЗИ, аномалии протоков, холедохолитиаз у детей, панкреатит, киста, childhood, liver, gallbladder, pancreas, duodenum, bile ducts, endoscopic ultrasound, endo-ultrasound, duct anomalies, choledocholithiasis in pediatric patients, pancreatitis, cyst