perinatologyРоссийский вестник перинатологии и педиатрииRossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics)1027-40652500-2228Ltd. “The National Academy of Pediatric Science and Innovation”perinatology-177Research ArticleМАТЕРИАЛЫ XII РОССИЙСКОЙ КОНФЕРЕНЦИИ «ПЕДИАТРИЯ И ДЕТСКАЯ ХИРУРГИЯ В ПРИВОЛЖСКОМ ФЕДЕРАЛЬНОМ ОКРУГЕ»МАТЕРИАЛЫ XII РОССИЙСКОЙ КОНФЕРЕНЦИИ «ПЕДИАТРИЯ И ДЕТСКАЯ ХИРУРГИЯ В ПРИВОЛЖСКОМ ФЕДЕРАЛЬНОМ ОКРУГЕ»Современные рекомендации по ведению детей с функциональным запоромCurrent guidelines for management of children with functional constipationБулатовВ. П.BulatovV. P.

д.м.н, проф., зав. каф. госпитальной педиатрии Казанского государственного медицинского университета

КамаловаА. А.KamalovaA. A.

д.м.н., доц. той же каф.

ШакироваА. Р.ShakirovaA. R.

врач-гастроэнтеролог медицинского центра «Айболит», Казань

СозиноваА. А.SozinovaA. A.

врач-интерн той же каф.

ГБОУ ВПО «Казанский государственный медицинский университет Минздрава России»РоссияKazan State Medical University, Ministry of Health of RussiaRussian Federation201514032016605188192Copyright © Ltd. “The National Academy of Pediatric Science and Innovation”, 20162016Ltd. “The National Academy of Pediatric Science and Innovation”Ltd. “The National Academy of Pediatric Science and Innovation”https://www.ped-perinatology.ru/jour/about/submissions#copyrightNoticehttps://www.ped-perinatology.ru/jour/article/view/177

Несмотря на то что функциональные запоры являются распространенной и поэтому актуальной проблемой педиатрии, существуют трудности ведения данной категории пациентов. В статье приводятся современные рекомендации, касающиеся диагностики и терапии функциональных запоров у детей, основанные на принципах доказательной медицины. Особое внимание уделено возрастным аспектам проблемы запора в детском возрасте.

Despite the fact that functional constipations are a common and hence relevant problem of pediatrics, there are difficulties in managing this category of patients. The paper presents the current guidelines for the diagnosis and treatment of functional constipation in children, which rely on the principles of evidence-based medicine. Particular attention is given to the age-related aspects of constipation in childhood.

детифункциональный запорслабительные.childrenfunctional constipationlaxatives.ReferencesLoening-Baucke V. Constipation in early childhood: patient characteristics, treatment, and long-term follow up. Gut 1993; 34: 1400-1404.Loening-Baucke V. Constipation in early childhood: patient characteristics, treatment, and long-term follow up. Gut 1993; 34: 1400-1404.Liem O., Harman J., Benninga M. et al. Health utilization and cost impact of childhood constipation in the United States. J Pediat2009; 154: 258-262.Liem O., Harman J., Benninga M. et al. Health utilization and cost impact of childhood constipation in the United States. J Pediat2009; 154: 258-262.Хавкин А.И., Файзуллина Р.А., Бельмер СВ. и др. Диагностика и тактика ведения детей с функциональными запорами (Рекомендации общества детских гастроэнтерологов). Вопр практи педиат 2014; 5: 62—76. (Khavkin A.I., Fajzullina R.A., Bel'mer S.V. et al. Diagnostics and tactics of maintaining children with functional constipations. (Recommendations of society of children's gastroenterologists.) Vopr prakt pediat 2014; 5: 62-76.)Хавкин А.И., Файзуллина Р.А., Бельмер СВ. и др. Диагностика и тактика ведения детей с функциональными запорами (Рекомендации общества детских гастроэнтерологов). Вопр практи педиат 2014; 5: 62—76. (Khavkin A.I., Fajzullina R.A., Bel'mer S.V. et al. Diagnostics and tactics of maintaining children with functional constipations. (Recommendations of society of children's gastroenterologists.) Vopr prakt pediat 2014; 5: 62-76.)Rasquin A., Di Lorenzo C, Forbes D. et al. Childhood Functional Gastrointestinal Disorders: Child/Adolescent. Gastro-enterol 2006; 130: 1527-1537.Rasquin A., Di Lorenzo C, Forbes D. et al. Childhood Functional Gastrointestinal Disorders: Child/Adolescent. Gastro-enterol 2006; 130: 1527-1537.Vandenplas Y., Alarcon P. Updated algorithms for managing frequent gastro-intestinal symptoms in infants. Beneficial Microbes 2015; 6: 2: 199-208.Vandenplas Y., Alarcon P. Updated algorithms for managing frequent gastro-intestinal symptoms in infants. Beneficial Microbes 2015; 6: 2: 199-208.Tabbers M.M., DiLorenzp C, Berger С et al. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediat Gastroenterol Nutrit 2014; 58: 258-274.Tabbers M.M., DiLorenzp C, Berger С et al. Evaluation and treatment of functional constipation in infants and children: evidence-based recommendations from ESPGHAN and NASPGHAN. J Pediat Gastroenterol Nutrit 2014; 58: 258-274.Hyman P.E., Milla P.J., Benninga A. et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterol 2006; 130:1519-1526.Hyman P.E., Milla P.J., Benninga A. et al. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterol 2006; 130:1519-1526.Tune V.T., Camurdan A.D., Ilhan M.N. et al. Factors associated with defecation patterns in 0-24-month-old children. EurJ Pediat 2008; 167: 1357-1362.Tune V.T., Camurdan A.D., Ilhan M.N. et al. Factors associated with defecation patterns in 0-24-month-old children. EurJ Pediat 2008; 167: 1357-1362.KooW.W., Hockm an E. M., Dow M. Palm olein in the fat blend of infant formulas: effect on the intestinal absorption of calcium and fat, and bone mineralization. J Am Coll Nutrit 2006; 25: 117-122.KooW.W., Hockm an E. M., Dow M. Palm olein in the fat blend of infant formulas: effect on the intestinal absorption of calcium and fat, and bone mineralization. J Am Coll Nutrit 2006; 25: 117-122.Moro G.E., Mosca F., Miniello N. et al. Effects of a new mixture of prebiotics on faecal flora and stools in term infants. Acta Pediat 2003; 91: Suppl: 77-79.Moro G.E., Mosca F., Miniello N. et al. Effects of a new mixture of prebiotics on faecal flora and stools in term infants. Acta Pediat 2003; 91: Suppl: 77-79.Vivatvakin В., Mahayosnond A., Theamboonlers F. et al. Effect of a whey-predominant starter formula containing LCPUFAs and oligosaccharides (FOS/GOS) on gastrointestinal comfort in infants. Asia Pacific J Clin Nutrit 2010; 19: 473-480.Vivatvakin В., Mahayosnond A., Theamboonlers F. et al. Effect of a whey-predominant starter formula containing LCPUFAs and oligosaccharides (FOS/GOS) on gastrointestinal comfort in infants. Asia Pacific J Clin Nutrit 2010; 19: 473-480.Indrio F, Di Mauro A., Riezzo M. et al. Prophylactic use of a probiotic in the prevention of colic, regurgitation, and functional constipation: a randomized clinical trial. JAMA Pediat 2014; 168: 228-233.Indrio F, Di Mauro A., Riezzo M. et al. Prophylactic use of a probiotic in the prevention of colic, regurgitation, and functional constipation: a randomized clinical trial. JAMA Pediat 2014; 168: 228-233.Бабаян М.Л., Хавкин А.И. Коррекция функциональных запоров в педиатрии: современный взгляд и проверенные веками истины. Consilium medicum Педиатрия 2012; 1: 56—59. (Babayan M.L., Khavkin A.I. Correction of functional constipations in pediatrics: a modern view and truth checked for centuries. Consilium medicum Pediatriya 2012; 1:56-59.)Бабаян М.Л., Хавкин А.И. Коррекция функциональных запоров в педиатрии: современный взгляд и проверенные веками истины. Consilium medicum Педиатрия 2012; 1: 56—59. (Babayan M.L., Khavkin A.I. Correction of functional constipations in pediatrics: a modern view and truth checked for centuries. Consilium medicum Pediatriya 2012; 1:56-59.)van den BergM.M., van Rossum C.H., de Lorijn F. et al. Functional constipation in infants: a follow-up study. J Pediat 2005; 147: 700-704.van den BergM.M., van Rossum C.H., de Lorijn F. et al. Functional constipation in infants: a follow-up study. J Pediat 2005; 147: 700-704.

The authors declare that there are no conflicts of interest present.