Chronic nociceptive colostasis of organic origin in children

Abstract

The aim of this research was to study the characteristics and pain iradiation, and its morphological and functional factors of chronic constipation in children. The study was based on analysis of integrated clinical and radiological examination of 88 children with chronic disorders of defecation hospitalized to the Clinic of Pediatric Surgery of National Pirogov Memorial Medical University (Vinnytsia) in the period from 2012 to 2016, that made the main group. Control group included 30 children hospitalized because of abdominal pain, in whom no changes were found were found in large and small intestine. The leading form of pain in children with chronic constipation was visceral pain observed in 67 (76.14 %) children, including dolihosihma – in 24 (72.73 %), and dolihocolon – in 47 (85.45 %) patients respectively. In 47.73 % of children with chronic colostasis pain was of spastic character caused by a spasm of certain functional active sites of large intestine as well as by severe disorders of blood circulation in the pool of superior mesenteric artery.