Iwańczak Franciszek, Siedlecka-Dawidko Jolanta, Iwańczak Barbara
Uniwersytet Medyczny im. Piastów Slaskich we Wrocławiu, II Katedra i Klinika Pediatrii, Gastroenterologii i Zywienia.
Pol Merkur Lekarski. 2013 Apr;34(202):196-9.
Disturbances of the gallbladder and biliary tract in children, contrary to those in adults, were not included in Ill Rome Criteria of functional disorders of the alimentary tract. The aim of the work was sonographic assessment of gallbladder function in functional dyspepsia in children.
The study included 45 children, aged 6 to 18 years (28 girls and 17 boys) with functional dyspepsia and 32 healthy children without symptoms form the alimentary tract of the same age, who were regarded as the control group. Diagnosis of functional dyspepsia was made based on Ill Rome Criteria. Anatomy and contractility of the gallbladder were assessed sonographically taking into consideration its volume in fasting state, than 30 and 60 minutes after the test meal. In anatomy assessment the presence of septum, thickness of the wall and the presence of thickened bile were taken into account.
Anatomical anomalies and wall thickness changes were observed statistically significantly more frequently in children with functional dyspepsia. There was no statistical difference in the volume of the gallbladder in fasting state and its contractility after test meal.
Anatomical anomalies of the gallbladder were more frequent in children with functional dyspepsia in comparison to healthy children, however, there were no statistical differences in its volume in fasting state and contractility after test meal.
与成人不同，儿童胆囊和胆道疾病未被纳入罗马Ⅲ型消化道功能障碍标准。本研究旨在对儿童功能性消化不良患者的胆囊功能进行超声评估。
本研究纳入45例6至18岁患有功能性消化不良的儿童（28名女孩和17名男孩）以及32名同龄无消化道症状的健康儿童作为对照组。功能性消化不良的诊断依据罗马Ⅲ型标准。通过超声评估胆囊的解剖结构和收缩功能，测量空腹状态下、进食试验餐30分钟及60分钟后的胆囊体积。解剖结构评估时考虑胆囊隔的存在、胆囊壁厚度以及胆汁增厚情况。
功能性消化不良儿童中观察到解剖结构异常和胆囊壁厚度改变的频率在统计学上显著更高。空腹状态下胆囊体积及其进食试验餐后的收缩功能无统计学差异。
与健康儿童相比，功能性消化不良儿童胆囊解剖结构异常更为常见，然而，空腹状态下胆囊体积及其进食试验餐后的收缩功能无统计学差异。
