Gastritis in childhood: clinical-endoscopic-histological findings

Doctoral Dissertation uoadl:1308332 88 Read counter

Unit:
Τομέας Υγείας - Μητέρας - Παιδιού
Library of the School of Health Sciences
Deposit date:
2013-07-08
Year:
2013
Author:
Ρόκα Κλεονίκη
Dissertation committee:
Oμότ.Καθ. Ρώμα Ελευθερία, Αναπλ.Καθ. Καττάμης Αντώνιος, Επικ.Καθ. Σιαχανίδου Σουλτάνα
Original Title:
Ταξινόμηση της γαστρίτιδας στην παιδική ηλικία: κλινική-ενδοσκοπική-ιστολογική εικόνα
Languages:
Greek
Translated title:
Gastritis in childhood: clinical-endoscopic-histological findings
Summary:
OBJECTIVES: Gastritis in childhood has different epidemiological, clinical,
endoscopic and histological characteristics from adults. Data in
childhood-gastritis are scarce and the few published studies are either based
on small samples or focused on Helicobacter pylori infection. Our aim was to
study childhood-gastritis and its characteristics in a large cohort of
patients.
METHODS A retrospective study of the children who underwent first
esophagogastroduodenal-endoscopy during 2002-2011 was performed.
RESULTS-CONCLUSIONS: We studied 1674 patients (851 boys, 50,83%) aged 7,48
years± 4,45.
H.Pylori-negative- gastritis was found in 88,06% versus 11,94% with Η.
Pylori-positive-gastritis.
Pathologic histological findings were observed in only 5,73% of patients
irrespectively of the findings location.
H.Pylori-negative gastritis was found in 88,06% of the patients while only
11,94% had H.Pylori–positive gastritis.
Patients with FEG had 15,4 times greater possibility to belong in the
IBD-group when compared to non-IBD.
Statistically significant lower prevalence of H.Pylori-infection was observed
in IBD patients when compared to non IBD individuals (p<0,001).
Lower prevalence of H.Pylori-infection although without statistical
significance in children with celiac disease (p=0,12) was found.
Nodular gastritis was more frequent in children with H.Pylori-infection in
comparison to non-H.Pylori individuals (77% έναντι 5,97%, p<0,001).
Keywords:
Gastritis in childhood, H.Pylori-positive gastritis, H.Pylori-negative gastritis, Non-infectious non-specific gastritis, Non-infectious specific gastritis
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
148
Number of pages:
xvi, 167

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