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Ci siamo trasferiti ad un altro indirizzo. Volete venirci a trovare? Fiction e trasmissioni. Sono questi gli ingredienti degli attuali palinsesti televisivi.
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Het hands continue to walk my richness in a none-too-gentle in the works, causing me to shiver. Biliary dyskinesia is an independent disease and is caused mainly by reduced motility of the gallbladder, which leads to its insufficiently good emptying and is accompanied by chronic pain abdominal syndrome.
The causes of stone formation in children differ from the sources of stone formation in adults. Metabolic disorders, mainly against the background of obesity, lead to the formation of cholesterol stones, which is the most common cause of cholelithiasis in children.
Blood diseases is another factor of cholelithiasis associated with hemolysis, such as sickle cell anemia, hereditary spherocytosis, and thalassemia. Symptoms of gallbladder disease are mainly in chronic abdominal pain syndrome.
Inflammation of the gallbladder is a fairly rare form of the course of gallstone disease in children. The current surgical technology for treatment of gallbladder diseases in children, as in adults, is cholecystectomy, which can be realized depending on the degree of mastery of endosurgical skills using standard four-port laparoscopic techniques or a single laparoscopic approach.
This review addresses the issues of semiotics, etiology, diagnosis, and surgical treatment of gallbladder disease in pediatric patients.
The scientific work answers many controversial questions regarding the diagnosis of biliary dyskinesia, the choice of diagnostic method for concomitant choledocholithiasis, and the selection of the most effective surgical approach.
B ackground. The cystic form of biliary atresia is a rare form of atresia of the biliary tract, which is a relatively favorable variant of the defect and can be diagnosed antenatally.
In practice, it is important not only to suspect this diagnosis, but also to differentiate this variant of impaired development of the external bile duct from the cyst of the common bile duct.
This is due to the difference in approaches and methods of surgical treatment of choledochal cysts and biliary atresia. Obliteration atresia of the bile ducts in the absence of timely surgical intervention quickly leads to the progression of cirrhosis and the development of liver failure.
The method of choice in the treatment of AD is Kasai surgery, often palliative in nature, but allowing to delay the time until liver transplantation.
The cyst of the common bile duct rarely requires early surgical treatment, and the risk of cirrhosis is significantly lower. Surgical intervention is aimed at removing the cyst and restoring the flow of bile by anastomosing the external bile ducts with the intestines, which is a radical method of treatment and leads to the recovery of the child.
External similarity in ultrasound examination of the fetus and newborn baby of the cystic form of biliary atresia of the bile ducts with a cyst of the common bile duct does not always allow differentiation of one defect from another, which can lead to untimely correction of the defect and an unfavorable outcome.
Materials and methods. Petersburg, only two patients had a cystic form. Both children were initially treated as patients with bile duct cyst.
Children were operated on at the age of 2 and 3. The first patient underwent surgery Kasai, the second — hepaticoyunoanastomosis.
During the observation period 9 years and 4 years , the synthetic function of the liver is normal, and there are currently no indications for transplantation.
If a fetus or a newborn with neonatal jaundice is detected during ultrasound examination of a cystic formation in the gates of the liver, it is very important to correctly and quickly make a differential diagnosis between the cystic form of biliary atresia of the biliary tract and the common bile duct cyst.
The aim of this study is to evaluate the efficiency of transurethral incision of ureteroceles and incidence of vesicoureteral reflux in pediatric patients with duplex system ureterocele.
This is a retrospective study of pediatric patients with duplex system ureterocele. The age of patients at the time of surgery ranged from 5 days to 17 years median — 8.
Intravesical ureterocele had patients Complications occurred in 2 patients 1. Ipsilateral vesicoureteral reflux after surgery had patients In the long-term period after transurethral incision of ureteroceles 97 patients Statistically significant risk factors associated with the need for reoperation were the presence of vesicoureteral reflux on the ureteroceles side and non-functioning upper pole of the kidney.
Transurethral incision of ureteroceles for duplex system ureterocele is a safe and effective minimally invasive method of primary resolving of the obstruction.
Vesicoureteral reflux on the ureterocele side after surgery had The main risk factor reoperation is vesicoureteral reflux on the ureterocele side.
Gastric duplication cyst is a rare clinical observation. More often, these cysts are localized in the fundus or body of the stomach and have a common muscle layers and blood supply.
Even more rarely, duplication cysts are not anatomically connected to the stomach and are located in other parts of the abdominal cavity or in the retroperitoneal space.
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