| Popis: |
For the purpose of the analysis of risk factors of formation of a gastroesophageal reflux disease (GERD) in children's population of the Republic of Tyva examination of school students of Kyzyl is conducted. 2185 pupils (1746 schoolchildren of radical and 439 schoolchildren of the alien population) took part in research. Inspection included an interview by means of the questionnaire developed on the basis of a questionnaire of Mayo Clinic; clinical examination, somatometry and somatometry typing. 203 schoolchildren with complaints to heartburn the fibroesophagogastroduodenoscopy is carried out. Complaints to heartburn showed 11,8% of schoolchildren of radical and 16,6% of pupils of the alien population (p = 0,01). Weekly heartburn was noted by 1,4% of Tuvinians and 2,3% of pupils of the alien population. School students with complaints to heartburn in most cases have no endoscopic signs of damage of a gullet: esophagitis is revealed only at 1% surveyed. The risk of emergence of GERD is higher at the high school age, at the burdened heredity, early artificial feeding, existence of food allergy; the insufficient use of products with the high maintenance of a protein. Risk factors are also disharmonious physical development (high growth and excess body weight), the brahimorphious type of a constitution and accessory to macrosomatotype. |
