VIOLATIONS OF THE MOTOR FUNCTION OF THE INTESTINE IN CHILDREN: DIAGNOSIS, CORRECTION

In recent years, among gastroenterological pathologies in children, an increase has been noted in congenital malformations of the colon causing the development of organic and functional diseases of the entire digestive system. Research objective. To identify onset mechanisms of the bowel evacuation function disorders, to establish their main links and develop an adequate medical and preventive treatment program aimed at their elimination, which in turn will allow preventing the development of pathologic complications and decompensation in children with dolichocolon.

We have studied circadian dysregulation of the bowel evacuation function disorder in 252 children aged 4 to 15 using chronoenterography. Children with a decompensated course of chronic constipation associated with congenital lengthening of the sigmoid colon, have demonstrated a slowdown of the bowel evacuation function in the form of category III-IV bradyentheria with pessimal actophase and a tendency to develop entheria. Regular circadian rhythm of the bowel evacuation function is an attribute of the functioning digestive system. We suggest using the “FPh” (Four Ph) principle featuring major directions of measures to prevent the onset and progression of chronic constipation in children with dolichocolon for the correction of desynchronosis. Consequently, the category of bradyentheria and definitive acrophase are diagnostically valuable clinical symptoms in patients with dolichocolon. The use of the chronometric approach to the correction of the bowel motor-evacuation function disorders in children with chronic constipation associated with congenital lengthening of the sigmoid colon allows achieving positive clinical situation dynamics and can be used as component of the medical and preventive treatment program for congenital lengthening of the sigmoid colon.