2010, Number 5
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Rev Mex Pediatr 2010; 77 (5)
Clinical problems. The intrincate diagnosis of gastritis in children
Sotelo CN, Beltrán CO
Language: Spanish
References: 14
Page: 194-198
PDF size: 141.12 Kb.
ABSTRACT
Objective. To identify antecedents and clinical features in children with primary gastritis and to analyze our experience.
Material and methods. We reviewed 88 clinical records ofchildren with acid-peptic illness, and selected 42 of them with clinical symptoms of primary gastritis, that moreover haven positive laboratory test, endoscopy and biopsy.
Results. 42 patients haven primary gastritis diagnoses, in 28 (66%) the socioeconomic level was lower; the signs andsymptoms more frequently observed were: vomit in 79%, epigastric pain in 64%; recurrent abdominal pain in 29%. In 18 children was made HP test, result positive in 12. All received treatment for primary gastritis, using H
2 blockers, proton inhibitor pumps: the antibiotic more frequently utilized: amoxicillin, claritromycin, metronidazole. The evolution was good.
Conclusions. The
Helycobacter pylori gastritis is not frequently considerate in pediatric patients with digestive symptoms, but the patients treated in this study for gastritis had good response.
REFERENCES
Sánchez CA, García-Aranda JA. Enfermedad acidopéptica. En: Academia Mexicana de Pediatría, A.C. Intersistemas. México, ed. PAC Pediatría 2, Libro II, 2000: 7-33.
Gold B, Blaker V. Gastritis y úlceras en niños. En: Wyllie R, Hymas JE, ed. Gastroenterología Pediátrica. McGraw-Hill Inter Americana, 2001: 251-275.
Warren JR, Marshall BJ. Unidentified curved bacilli on gastric epithelium in active chronic gastritis. Lancet 1983; 1: 1273-1275.
Azevedo NF, Huntington J, Goodman KJ. The epidemiology of Helicobacter pylori and Public Health implications. Helicobacter 2009 l4 (Suppl. 1): 1-7.
Belkind-Gerson J, Basurto G, Newton O, Ávila FC, Del Río C, García-Gaytán E, Reyes-León A, Torres J. Incidencia de infección por Helicobacter pylori en una cohorte de lactantes en el Estado de Morelos. Salud Pub Mex 2001; 43(2): 122-126.
Uhlig HH, Mössner TJ, Deutscher JJ, Kiess M, Richter T. Histopathological parameters of Helicobacter pylori associated gastritis in children and adolescents: comparison with findings in adults. Scand J Gastroenterol 2003; 7: 701-6.
Calva-Rodríguez R. Helicobacter pylori y su importancia en pediatría. En: Academia Mexicana de Pediatría 3 (Ed. PAC-V), México: Intersistemas México, 2007: 131-69.
Guaner J, Kalach N, Elistur Yy, Koletzco S. Helicobacter pylori diagnostic test in children: review of the literature from 1999 to 2009. Eur J Pediatr 2010; 169: 15-25.
Kindermann A, López AI. Helicobacter pylori infection in pediatrics. Helicobacter 2009; 14 (Suppl 1): 52-57.
Premoli G, González A, Aguilera-Galaviz LA. Infección por Helicobacterpylori en niños. Su identificación en la placa dental. Rev Mex Pediatr 2005; 72(2): 89-93.
Lionetti E, Indiro F, Pasvone L, Borrelli G, Cavallo L, Francavilla R. Role of probiotic in pediatric patients with Helicobacter pylori infection; a comprehensive review of the literature. Helicobacter 2010; 15: 79-87.
Asaka M, Kato M, Takahashi SI, Fukuda Yy, Sugiyama T, Ota H et al. Guidelines for the management of Helicobacter pylori infection in Japan. 2009. Revised edition. Helicobacter 2010; 15: 1-20.
Kimia A, Zahavi IL, Shapiro CR, Rosenbach Hirsh A, Druzd T, Yyahav J, Dinari G. The role of Helicobacter pylori and gastritis in children with abdominal recurrent pain. 2000; 2: 126-128.
Hernández-Hernández LC, Lazcano-Ponce CE, Vidal Aguilar-Gutiérrez R. Relevance of Helicobacter pylori factor for vaccine development. Salud Pub Mex 2009; 51(Suppl 3): 5447-5454.
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