DIAGNOSTIC POSSIBILITIES OF HYDROCOLONIC ECHOGRAPHY AT CHRONIC CONSTIPATION IN CHILDREN.

On the basis of 15 years' of experience the criteria of assessment of the colon was developed when performing hydrocolonic echography (HCE) and the possibilities of HCE are evaluated at chronic constipations (CC) in children. A retrospective cross research of results of HCE in 263 children with CC aged from 14 days to 17 years was conducted. HCE allowed to evaluate the position of the colon in the abdominal cavity, gave information on lengthening and lumen of the colon, structure of the intestinal wall, haustra, peculiarities of the functioning of the colon in real time. Secondary changes of the colon due to CC, depending on intensity of CC are identified. Echographical characteristics of dolihocolon (light constipations) and dolihomegacolon (severe constipations) are given. Possibilities of echographical identification of the surgical provenance (diseases of Hirschsprung, Payr) of constipation in children are defined.

CONCLUSIONS

Hydrocolonic echography grants high possibilities of diagnostics and allows identifying the organic reason of constipation in due time. In case of functional constipation, HCE narrows down the amount of additional examinations. Identification of secondary changes of the colon due to CC does hydrocolonic echography by the instrument of quality control of conservative treatment with the advantage of HCE of lacking radiation and the possibility of unlimited replication.