Cholelithiasis in the structure of nosology at the pediatric department of children’s city clinical hospital

The purpose of the study was to reveal the frequency and characteristics of the course of the cholelithiasis on the basis of studying the histories of children hospitalized in the Department of Gastroenterology of the State Children’s Hospital No. 9 named after GN Speransky in 2016-2017. Materials and methods: 3200 case histories of children were analyzed; in 32 children, cholelithiasis was diagnosed, among them 11 boys and 21 girls aged 1-9 months to 17 years 8 months. Anthropometric data, family history, duration of the disease, presence of abdominalgia, episodes of a sharp decrease in body weight were evaluated. Laboratory and instrumental studies were conducted. Results: cholelithiasis occurs in 10% of children with digestive tract diseases, mostly in girls, about half of patients had normal body weight and heredity of cholelithiasis, and in every fifth child, relatives suffered from excessive body weight. In 28% of cases, cytolysis syndrome (> 10 norms) and cholestasis (> 3 norms) were detected, clinical symptoms of cholelithiasis were noted within 3 months, in half of the children developmental abnormalities and a suspension in the gallbladder cavity were diagnosed. 25% of adolescent girls deliberately reduced body weight. Conclusion: when detecting stones in the gallbladder, it is necessary to determine the indicators of liver and pancreas function, despite the possible absence of complaints of pain in the right hypochondrium.

дети, желчнокаменная болезнь, избыточная масса тела, цитолиз, холестаз, children, cholelithiasis, overweight, cytolysis, cholestasis