TACTICS FOR TREATMENT OF PAYRE’S SYNDROME IN CHILDREN

There are several views on surgical methods of treating Payre’s syndrome in the literature, including Tsuman V.G. (2015) proposed to eliminate the high position and acute angle of the splenic angle by crossing the phrenic-colic and splenocolic ligaments of the colon. According to the recommendations (European Society of Coloproctology 2022), conservative treatment is recommended for this disease, and in unsuccessful cases, i.e. in the presence of persistent constipation and pain syndrome, it is recommended to reduce the splenic angle by surgical treatment. Thus, in children, the short length of the phrenic-colic ligament (Lig. phrenicocolicum sinistrum) leads to the formation of an acute angle in this branch of the colon, and when the colon is filled, it pulls the diaphragm down and causes pain under the left rib. There is very little information in the literature about Payr’s syndrome in children, which means that it is necessary to conduct scientific research in this direction. In the clinic of TashPMI. In 2018-2024, the treatment results of 83 patients with Payre syndrome aged 4 to 18 years were analyzed. Of these, 52 were girls and 31 were boys. When analyzing the immediate and remote results of 42 patients who underwent surgical treatment, good and satisfactory results were found in 37 (88.1%) cases, unsatisfactory - in 5 (11.9%) cases. Patients with unsatisfactory results had constipation, and sometimes abdominal pain. In these 5 patients, due to concomitant dolichosigma, a conclusion was made about the unsatisfactory result and resection of the sigmoid colon was performed by minilaparotomy. After the rehabilitation measures, a good result was obtained.