The document discusses biliary dyskinesia in children, which is a disturbance in the coordination of contractions in the biliary ducts that can cause pain in the upper right quadrant of the abdomen. It notes that biliary dyskinesia has various potential causes including neuro-circulatory dysfunction, viral hepatitis, genetic factors, and gastrointestinal issues. The document also covers pathogenesis, diagnosis, and potential treatment options which can include laparoscopic cholecystectomy, proton pump inhibitors, osteopathic treatment, and magnesium and enzyme supplements.

1. SELF WORK
TOPIC
BILARY DYSKINESIA IN
CHILDREN
TEACHER-ERALIVA
ZHAZGUL
SUBMITTED BY-SHREYA
PATEL

2. 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 pain
Nausea/vomiting
Fatty food intolerance
Painless jaundice
Pancreatitis
Epigastric/RUQ pain
Nausea/vomiting
Fatty food intolerance
Painless jaundice
Pancreatitis

3. Etiology
Identify 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 nutritiona
l products industrial canning;
- Endocrine diseases
(obesity, hyperthyroidism, diabetes
mellitus).
Etiology
Identify 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 nutritiona
l products industrial canning;
- Endocrine diseases
(obesity, hyperthyroidism, diabetes
mellitus).

4. PATHOGENESIS
1. 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
Treatment
Laparoscopic 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]