Preview

Current Pediatrics

Advanced search

ADMINISTRATION OF LACTULOSE IN COMPLEX PEHABILITATION TREATMENT AFTER RADICAL AND RECONSTRUCTIVE RESTORATIVE SURGERY OF BOWELS IN CHILDREN

Abstract

The results of treatment of children (n = 64) of 1,5–17 years old, receiving rehabilitation course after reconstructive — restorative surgery of bowels are presented in this article. It was shown, that prolonged (1 month and more) administration of lactulose (Duphalac) results in improvement of motor and evacuation function of bowel, and decreases «sensor inability» of reduced parts of bowel. As a result, lactulose stimulates functioning of «obturative apparatus of neoampula» (voluntary evacuation, retention of intestinal contents), that favors to increase of quality of life and social rehabilitation of children in outlying post surgical period.
Key words: children, post surgical rehabilitation, «idiopathic megacolon»syndrome, Hirschsprung's disease, anorectal malformations,lactulose.
(Voprosy sovremennoi pediatrii — Current Pediatrics. 2009;8(2):34-37)

About the Authors

I.V. Kirgizov
Scientific Center of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation


I.A. Shishkin
Scientific Center of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation


A.A. Gusev
Scientific Center of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation


P.V. Ivanov
Scientific Center of Children's Health, Russian Academy of Medical Sciences, Moscow
Russian Federation


References

1. Ашкрафт К.У., Холдер Т.М. Детская хирургия. СПб.: Харфорд. 1996. С. 27–42.

2. Каширская Н.Ю. Значение пробиотиков и пребиотиков в регуляции кишечной микрофлоры. Русский медицинский журнал. 2000; 13: 23–35.

3. Лёнюшкин А.И. Хирургическая колопроктология детского возраста. М.: Медицина. 1999. 366 с.

4. Маевская М.В. Применение лактулозы в клинической практике: механизмы действия и показания. Российский журнал гастроэнтерологии, гепатологии, колопроктологии. 2000; 5: 21–25.

5. Новожилов В.А. Тактические и технические варианты оперативной коррекции аноректальных аномалий у детей раннего возраста. Методическое пособие. Иркутск. 2007. С. 14–82.

6. Clayden G.S. Personal practice: management of chronic constipation. Arch. Dis. Child. 1992; 67: 340–344.

7. Gauderer M.W.L., DeCou J.M., Boyle J.T. Sigmoid irrigation tube for the management of chronic evacuation disorders. J. Pediatr. Surg. 2002; 37: 348–351.

8. Loening-Boucke V. Factors determining outcome in children with chronic constipation and fecal soiling. Gut. 1989; 30: 999–1006.

9. Lu W.T., Chen C.C. Factors affecting postoperative fecal soiling in Hirschsprung’s disease. J. Formos. Med. Assoc. 1998; 97 (3): 170–173.

10. Marty T.L., Seo T., Matlak M.E., et al. Gastrointestinal function after surgical correction of Hirschsprung’s disease: long term follow up in 135 patients. J. Pediatr. Surg. 1995; 30 (5): 655–658.

11. Moore S.W., Albertyn R., Cywes S. Clinical outcome and long-term quality of life after surgical correction of Hirschsprung’s disease. J. Pediatr. Surg. 1996; 31 (11): 1496–1502.

12. Peсa A., El-Behery M. Megasigmoid — a source of pseudo incontinence in children with repaired anorectal malformations. J. Pediatr. Surg. 1993; 28: 199–203.

13. Rassouli R., Holschneider A.M., Bolkenius M. et al. Long-term results of Rehbein’s procedure: a retrospective study in German speaking countries. Eur. J. Pediatr. Surg. 2003; 13: 187–194.

14. Tariq G.M., Brereton R.J., Wright V.M. Complications of endorectal pull-through for Hirschsprung’s disease. J. Pediatr. Surg. 1991; 26 (10): 1202–1206.

15. Teitelbaum D., Coran A. Long term results and quality of life after treatment of Hirschsprung’s disease and allied disorders. Ed. Holschneider A., Puri P. In: Hirschsprung’s disease and allied disorders. Amsterdam: Harwood Academic Publishers. 2000. Р. 457–466.


Review

For citations:


Kirgizov I., Shishkin I., Gusev A., Ivanov P. ADMINISTRATION OF LACTULOSE IN COMPLEX PEHABILITATION TREATMENT AFTER RADICAL AND RECONSTRUCTIVE RESTORATIVE SURGERY OF BOWELS IN CHILDREN. Current Pediatrics. 2009;8(2):34-37.

Views: 472


ISSN 1682-5527 (Print)
ISSN 1682-5535 (Online)