PECULIARITIES OF CONSERVATIVE TREATMENT OF CHILDREN WITH CHOLELITHIASIS AFTER CHOLECYSTECTOMY
https://doi.org/10.21508/1027-4065-2018-63-5-66-68
Abstract
The frequency of cholelithiasis, including in children, is constantly growing. For the moment there is no treatment algorithm of this disease after cholecystectomy, which determines the urgency of this problem. The article presents the pathogenetic justification of substitution therapy with enzyme drugs, sparing therapy with antacids, hepatoprotectors and cholespasmolytics, as well as probiotics in the early postoperative period in children with cholelithiasis who underwent cholecystectomy. There are data proving fallacy of prescribing ursodeoxycholic acid during this period. Particular attention is paid to the mechanism of action of drugs and the possibility of their use for the prevention and / or treatment of postcholecystectomy syndrome in children of different age groups. We describe our personal experience in the use of drugs in children with cholelithiasis, who underwent cholecystectomy.
About the Authors
L. V. Yakimova
Andreevsky Hospital – Nebolit.
Russian Federation
Russian Federation
L. A. Kharitonova
Pirogov Russian National Research Medical University.
Russian Federation
Russian Federation
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Review
For citations:
Yakimova L.V., Kharitonova L.A. PECULIARITIES OF CONSERVATIVE TREATMENT OF CHILDREN WITH CHOLELITHIASIS AFTER CHOLECYSTECTOMY. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2018;63(5):66-68. (In Russ.) https://doi.org/10.21508/1027-4065-2018-63-5-66-68
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