الفهرس 
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Abstract
Chronic liver diseases are the continuity of clinical or biochemical evidence of hepatic dysfunction for longer than six months. Chronic liver diseases in children are relatively common disorders with minimal symptoms but long-term risk of significant morbidity and mortality particularly in developing countries.
Intestinal parasites are among the most common infections worldwide, constituting major public health problem in developing countries. Intestinal parasites are linked to diarrhea, dysentery, abdominal pain and related gastrointestinal manifestations.
Many parasites may inhabit the upper or lower gastrointestinal tract, pancreas, liver, gallbladder and biliary tree.
The extent of the disease depends on the parasite burden and stage of infestation, the type of tissue response and host immunity.
The aim of our work was to study the common intestinal parasites among children with chronic liver diseases.
This study was conducted on 100 children, 50 children with chronic liver diseases of different etiologies recruited from Hepatology Clinic, Ain Shams University during the period from Septembre 2010 to May 2011[ 25 were having different intestinal symptoms (group Ia) , 25 without intestinal symptoms (group Ib )]. 50 healthy children who were age and sex matched with group I served as control (group II).
The results of our study can be summarized in the following:
1. No significant differences in the mean age and the sex between the cases and controls.
2. Significant decease in weight and height percentiles of the cases in comparison with the controls.
3. Significant increase in the incidence of intestinal parasites (especially E. histolytica, Giardia and Blastocysts) in cases in comparison with the controls.
4. Our study showed that, 23 (46%) patients had elevated AST (aspartate transferase), 18 (36%) patients had elevated ALT (alanine transferase) and 21 (42%) had elevated alkaline phosphatase levels.
5. Our study showed that, 13 (26%) patients had jaundice, 42 (84%) patients had pallor and 3 (6%) patients had ascites.
6. Our study showed that, 41 (82%) patients were Child A classification and 9 (18%) patients were Child Bclassification.