Author/Editor		Gvardijančič, D; Pintar, T
Title		Otroci in kirurški posegi na prebavilih
Translated title		Surgical treatment of gastrointestinal diseases in children
Type		članek
Source		Gastroenterolog
Vol. and No.		Letnik 8, št. Suppl 2
Publication year		2004
Volume		str. 163-6
Language		slo
Abstract		In the year 2003 at the Department of Paediatric Surgery and Intensive Care in the University Medical Centre of Ljubljana we treated 706 chil dren with signs of intraabdominal disease, 459 of these were operated. Appendicitis is the most common abdominal condition requiring surgery in children (1,2). 93 children were operated for acute appendicitis, in 5 (5,4%) we found only mesenterial lymphadenitis, whereas in 10 (10.7%) we found peritonitis with a perforation of the appendix. The diagnosis of acute appendicitis was based on history, clinical signs and laboratory signs of infection. We performed sonography in cases where the clinical signs were not clear, where the history was not indicative or the children had other concommitant diseases. We also perform sonography in research groups. The most common programmed operation were operations of inguinal hernia , which we did in 240 cases and 20 cases in which the hernia was incarcerated. We have also analysed all the other operations in this year.
Summary		V letu 2003 smo na Kliničnem oddelku za otroško kirurgijo in intenzivno terapijo sprejeli 706 otrok z znaki obolenja v trebušni votlini. Operirali smo 459 otrok. Najpogostejše akutno kirurško obolenje v trebušni votlini pri otroški populaciji je akutno vnetje slepiča (1,2), zaradi katerega smo operirali 93 otrok. Pri 5-ih otrocih (5,4%) smo pri operaciji našli limfadenitis, pri 10-ih otrocih (10,7%) pa je bil slepič že perforiran. Diagnostika akutnega vnetja slepiča je temeljila predvsem na anamnezi, kliničnem pregledu in prisotnih laboratorijskih parametrih vnetja. Za ultrazvočno diagnostiko akutnega vnetja slepiča smo se odločili v primeru nejasne klinične slike, predvsem pri otroeih z netipično anamnezo ali drugim sočasnim obolenjem. Ultrazvočno diagnostiko akutnega vnetja slepiča opravljamo tudi v raziskovalne namene. Najpogostejše programske operacije so bile operacije dimeljskih kil, ki smo jih opravili 240, 20 otrok pa smo operirali urgentno zaradi vkleščenja kile. Prikazali smo tudi ostale opravljene kirurške posege pri otrocih.
Descriptors		GASTROINTESTINAL DISEASES APPENDICITIS APPENDECTOMY PERITONITIS INTENSIVE CARE UNITS, PEDIATRIC CHILD HERNIA, INGUINAL PYLORIC STENOSIS INTESTINAL OBSTRUCTION INTESTINAL PERFORATION TREATMENT OUTCOME