ЭФФЕКТИВНОСТЬ ОПЕРАТИВНОГО ЛЕЧЕНИЯ ХРОНИЧЕСКИХ ЗАПОРОВ У ДЕТЕЙ

M.I. Komissarov; I.Yu. Aleshin; M.Yu. Komissarova; I.A. Komissarov

doi:10.56871/CmN-W.2023.88.32.010

M.I. Komissarov Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100
I.Yu. Aleshin Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100
M.Yu. Komissarova Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100
I.A. Komissarov Saint Petersburg State Pediatric Medical University. Lithuania 2, Saint Petersburg, Russian Federation, 194100

DOI: https://doi.org/10.56871/CmN-W.2023.88.32.010

Keywords: chronic constipation, children, anal achalasia, hypertrophy of the internal anal sphincter, sphincterotomy

Abstract

Therapy of chronic constipation presents certain diffi culties. Based on modern research methods and a large clinical material (3526 patients), it was shown that among patients with so-called functional constipation, anal achalasia is detected in 3.89% of children, and hypertrophy of the internal sphincter in 1.72%. The eff ectiveness of sphincterotomy of the internal sphincter of the anus has been proven, the immediate and long-term results of this operation have been studied. It was revealed that the restoration of normal defecation in patients with anal achalasia and hypertrophy of the internal sphincter of the anus, with conservative treatment, occurs in no more than 2–3% of cases, after sphincterotomy in 70–90%. However, this process is very slow, over several years.

THE EFFECTIVENESS OF SURGICAL TREATMENT OF CHRONIC CONSTIPATION IN CHILDREN

Abstract