gnckКолопроктологияKoloproktologia2073-75562686-7303Russian Association of Coloproctologygnck-1713Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESПолипы толстой кишки у детейColon polyps in childrenСулавкоЯков П.SulavkoYakov P.polikarpova-e@yandex.ru1РДКБ ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России (ул.Островитянова, д.1, г.Москва, 117997, Россия) 2РДКБ ФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России, кафедра детской хирургии (ул.Островитянова, д.1, г.Москва, 117997, Россия)Россия1Pirogov Russian National Research Medical University (Ostrovitianova str., 1, Moscow, 117997, Russia) 2Pirogov Russian National Research Medical University, Department of Pediatric Surgery (Ostrovitianova str., 1, Moscow, 117997, Russia)Russian Federation2022210320222121713Copyright © Сулавко Я.П., 20222022Сулавко Я.П.Sulavko Y.P.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.ruproctology.com/jour/article/view/1713ЦЕЛЬ

ЦЕЛЬ: проанализировать опыт лечения пациентов детского возраста с полипозом толстой кишки.

ПАЦИЕНТЫ И МЕТОДЫ

ПАЦИЕНТЫ И МЕТОДЫ: в публикации представлен опыт лечения детей с полипами толстой кишки в возрасте от 1 до 17 лет. Описаны клиника, методы диагностики и тактика ведения пациентов. Детально представлены больные с аденоматозом (n=38) и ювенильным полипозом толстой кишки (n=16).

РЕЗУЛЬТАТЫ

РЕЗУЛЬТАТЫ: описаны варианты оперативного вмешательства с учетом результатов морфологического анализа и данных обследования (колэктомия и формирование наданального илеоректального анастомоза с формированием серозно-мышечного цилиндра (n=8), колпроктэктомии с формированием тонкокишечного резервуара, илеоанального анастомоза (n=10)) и результаты лечения.

ЗАКЛЮЧЕНИЕ

ЗАКЛЮЧЕНИЕ: выявление полипов толстой кишки у детей требует широкого спектра обследований и тактика лечения зависит от четкого представления о нозологической форме полипоза толстой кишки, что позволяет определить оптимальный срок и вариант оперативного лечения.

OBJECTIVE

OBJECTIVE: to analyze the experience of pediatric patients with polyposis of the colon.

PATIENTS AND METHODS

PATIENTS AND METHODS: In our publication we present our experience in treatment children with colon polyps, aged 1 to 17 years. The clinic, diagnostic methods and optimal treatment tactics are described. Patients with adenomatosis (n = 38) and juvenile polyposys (n = 16) are presented in details.

RESULTS

RESULTS: Options for surgical intervention are described, taking into account morphological analysis and examination data (colectomy with ileorectal anastomosis and formation seromuscaler cylinder (n=8), colproctectomy with enteric reservoir formation (n = 10)), treatment results are presented too.CONCLUSIONS: the detection of colonic polyps requires a wide range of examinations and treatment tactics depends on a clear understanding of the nosological form of colonic polyposis, which allows to determine the optimal period and variant of surgical treatment.

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