Gastroduodenal ulcers in the Helicobacter pylori era
| Autor: | Stringer, V T, Veysi, J W, Puntis, G, Batcup, M F, Dixon |
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| Rok vydání: | 2000 |
| Předmět: |
Male
Peptic Ulcer Adolescent Helicobacter pylori Incidence General Medicine Anti-Ulcer Agents Endoscopy Gastrointestinal United Kingdom Anti-Bacterial Agents Helicobacter Infections Diagnosis Differential Treatment Outcome Recurrence Gastritis Pediatrics Perinatology and Child Health Acute Disease Chronic Disease Humans Female Prospective Studies Child Follow-Up Studies |
| Zdroj: | Acta paediatrica (Oslo, Norway : 1992). 89(10) |
| ISSN: | 0803-5253 |
| Popis: | The aim of the study was to evaluate the current spectrum of gastroduodenal ulcers in children referred to a regional paediatric unit in the United Kingdom. During a 5-y period (1994-98), all children with a visibly discrete gastric and/or duodenal ulcer diagnosed at endoscopy were prospectively identified. Patients with ulcers associated with Helicobacter pylori gastritis underwent repeat endoscopy 2-3 mo after medical treatment. Thirty-seven children, 21 boys and 16 girls of median age 11 y (range 7 mo to 16 y), had gastric and/or duodenal ulceration. Specific aetiological factors were identified in 21 of 22 with H. pylori negative ulcers, including Crohn's disease (n = 6), coeliac disease (n = 4) and treatment with ulcerogenic drugs (n = 4). Fifteen children (41%) had ulcers associated with H. pylori gastritis, including all 10 children with a chronic ulcer. Endoscopically confirmed ulcer healing was achieved in 14 of these using a 1 wk triple therapy regimen (omeprazole and a combination of two antibiotics). In conclusion, the recognized spectrum and the management of gastroduodenal ulceration have changed during the last decade. Although H. pylori gastritis is an important aetiological factor, a wide range of other conditions needs to be considered. Surgical intervention is only rarely necessary. |
| Databáze: | OpenAIRE |
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