Sigmoidoscopy in children

Sigmoidoscopy in children is used to diagnose the pathology of the colon, such as bleeding from the intestine, high mounted polyps rectum, with bowel diseases of unknown etiology, to take the material from the intestinal lumen for bacteriological and cytological studies, biopsy, and also for solution of the question about the cure and the statement of convalescents after dysentery. Sigmoidoscopy is not indifferent to the investigation and should be made only on certain indications.
Sigmoidoscopy in children is contraindicated in acute dysentery and acute; children under 1 year from loose, easy-to-injure the mucous membrane of the large intestine sigmoidoscopy is used carefully.
A sigmoidoscopy in children produce specially designed rectoromanoscopy. The maximum depth to which you can type in children of the first six months of life, equal 12-15 cm, the second half - 16-17 cm, the second - fourth year of life - 18-20 see
Under normal chair sigmoidoscopy performed after defecation. At diarrheas put a cleansing enema of boiled water and 2 hours to explore. Research is best done in the knee-elbow position, well locking a child in the correct position. Note that the sigmoidoscopy children often react cry, abdominal strain that impedes the promotion of pipes and increases the risk of injury.
In healthy children appearance mucous membrane of the rectum and sigmoid colon different features depending on the age: the younger the child, the mucosa more intensely coloured and swollen; follicles and increased giperemiei. In malnourished, anemic children mucous membrane pale, folds her smooth.
In the periods between exacerbations of chronic dysentery mucous membrane ulcers dull, grainy, easily vulnerable, there congestive hyperemia; sometimes she was pale and atrophic. Against the background of these changes can detect small ulcers, necrotic follicles scars. The absence of these changes, if rectoromanoscopy does not exclude dysenteric nature of the disease in children are significantly more likely than adults affected proximal (ascending and transverse colon), and not the distal colon.