CLINICAL COURSE OF CHRONIC PANCREATITIS IN CHILDREN WITH METABOLIC SYNDROME

Аннотация

Problems of pancreatology of childhood are referred to the most difficult section of clinical gastroenterology. The variety and characteristics of clinical manifestations of pancreatic diseases in children in different age periods give rise to numerous diagnostic and tactical errors. In patients of early age, malformations of the pancreas are relatively more often diagnosed, in older patients, chronic pancreatitis due to various reasons. Despite significant advances in the study of the pathogenesis of both CP in children and MS, as well as insulin resistance, there are many blank spots in the development of this comorbidity: the pathogenetic significance of adipokinins has not been clarified, and the course of CP associated with the metabolic syndrome remains insufficiently studied. Clarification of these issues is important for timely diagnosis and pathogenetically substantiated treatment.