Abstract
Payr syndrome is characterized by elongation of the transverse colon and a high position of the splenic flexure forming an acute angle, known as the “double-barrel Payr phenomenon,” which leads to chronic constipation and abdominal pain. To improve the outcomes of treatment of Payr syndrome in children. The results of treatment of 83 patients aged 4 to 18 years with Payr syndrome who were treated at the clinic of the Tashkent Pediatric Medical Institute during 2018–2024 were analyzed. Among them, 52 were girls and 31 were boys. When analyzing the early and long-term outcomes of 42 surgically treated patients, good and satisfactory results were observed in 37 cases (88.1%), while unsatisfactory results were noted in 5 cases (11.9%). Therefore, sigmoid colon resection via mini-laparotomy was performed. After rehabilitation measures, satisfactory results were achieved. Indications for surgical treatment in children with Payr syndrome include failure of conservative therapy, increased frequency of abdominal pain, and the development of reflux ileitis. In cases where elongation of the transverse colon is not pronounced, laparoscopic descent (mobilization) of the splenic flexure is considered the preferred surgical approach.