lvrachЛечащий ВрачLechaschi Vrach1560-51752687-118110.26295/OS.2020.28.11.008lvrach-190Research ArticleСтатьиФункциональные нарушения органов желудочно-кишечного тракта у детей, актуальные подходы и практические наработкиFunctional disorders of the digestive tract in children, current approaches and practical experienceЭрдесС. И.ErdesS. I.

Moscow

svetlana.erdes@yandex.ruФГАОУ ВО Первый МГМУ им. И. М. Сеченова МЗ РФРоссияN. I. Sechenov First Moscow State Medical UniversityRussian Federation202023062021093643Copyright © Эрдес С.И., 20212021Эрдес С.И.Erdes S.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://journal.lvrach.ru/jour/article/view/190

Публикация содержит материалы сателлитного симпозиума Функциональные нарушения органов ЖКТ у детей, актуальные подходы и практические наработки, состоявшегося 22 февраля 2020 г. в рамках XXII Конгресса педиатров России с международным участием Актуальные проблемы педиатрии. Функциональные нарушения занимают одно из ведущих мест в структуре патологии органов пищеварения. В статье изложены последние рекомендации так называемого Римского консенсуса 2016 г. и критерии функциональных расстройств; приводятся новые данные по их распространенности. Изложены основные положения, касающиеся функциональных расстройств билиарного тракта. Представлены основные клинические признаки функциональных расстройств желчного пузыря и сфинктера Одди, подтверждающие, по данным инструментальных исследований, критерии. Обсуждаются терапевтические подходы. Приводятся также новейшие данные о микробиоте человека и ее роли в развитии функциональных заболеваний у детей. Отдельный раздел статьи посвящен проблеме хронических запоров у детей и значению короткоцепочечных жирных кислот в нормализации работы кишечника.

The publication contains materials from the satellite symposium «Functional disorders of the gastrointestinal tract in children, current approaches and practical experience», held on February 22, 2020 within the framework of the XXII Congress of Russian Pediatricians with international participation «Actual problems of pediatrics». Functional disorders occupy one of the leading places in the structure of the pathology of the digestive system. The article outlines the latest recommendations of the so-called Rome Consensus 2016 and the criteria for functional disorders; provides new data on their prevalence. The basic provisions concerning functional disorders of the biliary tract are stated. The main clinical signs of functional disorders of the gallbladder and the sphincter of Oddi are presented, confirming the criteria, according to instrumental studies. Therapeutic approaches are discussed. The latest data on the human microbiota and its role in the development of functional diseases in children are also presented. A separate section of the article is devoted to the problem of chronic constipation in children and the role of short-chain fatty acids in the normalization of bowel function. 

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The authors declare that there are no conflicts of interest present.