SELF WORK TOPIC

BILARY DYSKINESIA IN CHILDREN

TEACHER-ERALIVA ZHAZGUL

SUBMITTED BY-SHREYA PATEL

Group- 3ENG 8B

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 painNausea/vomitingFatty food intolerancePainless jaundicePancreatitis

EtiologyIdentify 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 nutritional products industrial canning;

    - Endocrine diseases (obesity, hyperthyroidism, diabetes mellitus).

 PATHOGENESIS1. 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

TreatmentLaparoscopic 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]