BILIARY DYSKINESIA
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biliary dyskinesia in children
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BILIARY DYSKINESIA
- 1. SELF WORK TOPIC BILARY DYSKINESIA IN CHILDREN TEACHER-ERALIVA ZHAZGUL SUBMITTED BY-SHREYA PATEL
- 2. Biliary Dyskinesia • a violation of the flow of bile into the duodenum due to muscular motility disorders of biliary tract and cause pain in the right upper quadrant. • OR • biliary dyskinesia is the disturbance in the coordination of peristaltic contraction of the biliary ducts, and/or reduction in the speed of emptying of the biliary tree into the duodenum. • SS • SYMPTOMS Epigastric/RUQ pain Nausea/vomiting Fatty food intolerance Painless jaundice Pancreatitis Epigastric/RUQ pain Nausea/vomiting Fatty food intolerance Painless jaundice Pancreatitis
- 3. Etiology Identify the following factors leading to biliary dyskinesia (DGP): - Neuro-circulatory dysfunction of various origins; - Transferred acute viral hepatitis; - Constitutional characteristics of the child with vegetative dystonia and a sedentary lifestyle; - Neuroses; - Food allergy, atopic diathesis; - Any chronic pathologies of the gastrointestinal tract (especially inflammatory); - Parasitosis of the gastrointestinal tract, especially giardiasis; - A genetic predisposition, although it is probably more often than not comes down to family lifestyle factors such as nutrition; - Chronic foci of infection in the body (ENT pathology); - Poisoning, Ecopathology , prolonged abuse of nutritiona l products industrial canning; - Endocrine diseases (obesity, hyperthyroidism, diabetes mellitus). Etiology Identify the following factors leading to biliary dyskinesia (DGP): - Neuro-circulatory dysfunction of various origins; - Transferred acute viral hepatitis; - Constitutional characteristics of the child with vegetative dystonia and a sedentary lifestyle; - Neuroses; - Food allergy, atopic diathesis; - Any chronic pathologies of the gastrointestinal tract (especially inflammatory); - Parasitosis of the gastrointestinal tract, especially giardiasis; - A genetic predisposition, although it is probably more often than not comes down to family lifestyle factors such as nutrition; - Chronic foci of infection in the body (ENT pathology); - Poisoning, Ecopathology , prolonged abuse of nutritiona l products industrial canning; - Endocrine diseases (obesity, hyperthyroidism, diabetes mellitus).
- 4. PATHOGENESIS 1. violation of the functional state of the hepatocyte and hence – diskholiya (change in the composition of bile); 2. violation of the regulation of neurogenic muscular wall of GB as the central (neuro-circulatory dysfunction, neurosis) and peripheral (in the pathology of the gastrointestinal tract by type viscero-visceral reflexes interoceptors) genesis. • diagnosis • Ultrasound • Radionucleide gallbladder • emptying study (with CCK) • Hepatobiliary scan Treatment Laparoscopic cholecystectomy proton pump inhibitors.[4] Osteopathic treatment, oral magnesium supplementation with 325 mg and the use of digestive enzymes caused improvement in one case.[5]