Surgical Treatment and Rehabilitation of Children with Pathology of the Pancreas

Relevance. Surgical treatment of pancreas patho­logy in children is quite difficult in pediatric surgery. The diversity of pathology in congenital anomalies in the glands structure, complications, ectopic tissue of pancreas have often been related to difficulties in choice of the complex invasive me...

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Main Authors: Yu.V. Pashchenko, О.Yu. Belousova, V.A. Belopashentsev
Format: Article
Language:English
Published: Zaslavsky O.Yu. 2016-08-01
Series:Zdorovʹe Rebenka
Subjects:
Online Access:http://childshealth.zaslavsky.com.ua/article/view/78943
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author Yu.V. Pashchenko
О.Yu. Belousova
V.A. Belopashentsev
author_facet Yu.V. Pashchenko
О.Yu. Belousova
V.A. Belopashentsev
author_sort Yu.V. Pashchenko
collection DOAJ
description Relevance. Surgical treatment of pancreas patho­logy in children is quite difficult in pediatric surgery. The diversity of pathology in congenital anomalies in the glands structure, complications, ectopic tissue of pancreas have often been related to difficulties in choice of the complex invasive method of diagnosis and treatment for surgeons. Research objective: to create optimal treatment approaches to organ and extraorgan pancreas pathology management in children. Materials and methods. We have practiced in treatment of 50 children with malformations and diseases of the pancreas aged from 2 months to 17 years old. Extraorgan pancreatic tissue ectopias (25), destructive pancreatitis (10), reactive cysts (8), traumatic injuries (3), lymphangioma (1), aggressive fibrosis (1), teratoma (1), an insulinoma (1) were registered. The diagnostic methods inclu­ded clinical laboratory methods, EGD, radiation methods. Results. We described the surgical interventions in children using minimal access, laparoscopic technology, stenting and open surgery. The article explains principles of standard treatment with concomitant medications and diet in the postoperative period. Conclusions. The experience of the treatment of congenital and acquired pancreas pathology showed the effectiveness for proposed approaches and potential of mini-invasive technologies development in surgical correction. We have developed the basic principle of treatment and rehabilitation of patients by gastroenterologist — pediatric surgeon — gastroenterologist which allows achieve a high level of good and satisfactory results of treatment in children. We have formed and implemented into the practice the algorithm of actions for internists and pediatric surgeons at different stages of the disease.
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spelling doaj.art-a33155702bbf4e78a41ee342c1cc6e0c2022-12-21T19:41:42ZengZaslavsky O.Yu.Zdorovʹe Rebenka2224-05512307-11682016-08-01115.1.73.1656810.22141/2224-0551.5.1.73.1.2016.7894378943Surgical Treatment and Rehabilitation of Children with Pathology of the PancreasYu.V. Pashchenko0О.Yu. Belousova1V.A. Belopashentsev2Kharkiv National Medical University, KharkivKharkiv Medical Academy of Postgraduate Education, KharkivRegional Children’s Clinical Hospital № 1 of Kharkiv, KharkivRelevance. Surgical treatment of pancreas patho­logy in children is quite difficult in pediatric surgery. The diversity of pathology in congenital anomalies in the glands structure, complications, ectopic tissue of pancreas have often been related to difficulties in choice of the complex invasive method of diagnosis and treatment for surgeons. Research objective: to create optimal treatment approaches to organ and extraorgan pancreas pathology management in children. Materials and methods. We have practiced in treatment of 50 children with malformations and diseases of the pancreas aged from 2 months to 17 years old. Extraorgan pancreatic tissue ectopias (25), destructive pancreatitis (10), reactive cysts (8), traumatic injuries (3), lymphangioma (1), aggressive fibrosis (1), teratoma (1), an insulinoma (1) were registered. The diagnostic methods inclu­ded clinical laboratory methods, EGD, radiation methods. Results. We described the surgical interventions in children using minimal access, laparoscopic technology, stenting and open surgery. The article explains principles of standard treatment with concomitant medications and diet in the postoperative period. Conclusions. The experience of the treatment of congenital and acquired pancreas pathology showed the effectiveness for proposed approaches and potential of mini-invasive technologies development in surgical correction. We have developed the basic principle of treatment and rehabilitation of patients by gastroenterologist — pediatric surgeon — gastroenterologist which allows achieve a high level of good and satisfactory results of treatment in children. We have formed and implemented into the practice the algorithm of actions for internists and pediatric surgeons at different stages of the disease.http://childshealth.zaslavsky.com.ua/article/view/78943pancreatic diseasechildrentreatment
spellingShingle Yu.V. Pashchenko
О.Yu. Belousova
V.A. Belopashentsev
Surgical Treatment and Rehabilitation of Children with Pathology of the Pancreas
Zdorovʹe Rebenka
pancreatic disease
children
treatment
title Surgical Treatment and Rehabilitation of Children with Pathology of the Pancreas
title_full Surgical Treatment and Rehabilitation of Children with Pathology of the Pancreas
title_fullStr Surgical Treatment and Rehabilitation of Children with Pathology of the Pancreas
title_full_unstemmed Surgical Treatment and Rehabilitation of Children with Pathology of the Pancreas
title_short Surgical Treatment and Rehabilitation of Children with Pathology of the Pancreas
title_sort surgical treatment and rehabilitation of children with pathology of the pancreas
topic pancreatic disease
children
treatment
url http://childshealth.zaslavsky.com.ua/article/view/78943
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AT vabelopashentsev surgicaltreatmentandrehabilitationofchildrenwithpathologyofthepancreas