PMID: 8604456Mar 1, 1996Paper

Symptoms of gastritis due to Helicobacter pylori in children

Southern Medical Journal
D A Gremse, A I Sacks

Abstract

Infection due to Helicobacter pylori may be associated with gastritis and peptic ulcer disease in children. The aim of this study was to compare the presentation of gastritis due to H pylori with that of gastritis not associated with H pylori infection. The medical records of 296 children who had esophagogastroduodenoscopy were reviewed; 23 (8%) had H pylori gastritis, and 51 had primary gastritis without H pylori infection. Of patients with H pylori, 43% had antral nodularity and 17% had duodenal ulcers. The incidence of epigastric pain, nocturnal pain, postprandial pain, family history of peptic ulcer disease, water brash, vomiting, weight loss, fecal occult blood, and hematemesis was similar between both groups. Periumbilical pain was less common in children with gastritis than epigastric pain, and pain in the periumbilical region was present in only 4% of children with H pylori infection, compared with 31% of patients who had gastritis without H pylori infection. The presence of H pylori should be sought in children having endoscopy for evaluation of upper gastrointestinal mucosal disease.

Citations

Jul 7, 2007·Journal of Gastroenterology and Hepatology·Manisha DwivediVatsala Misra
Feb 17, 2001·Archives of Medical Research·J TorresO Muñoz
Apr 1, 1997·Pediatric Annals·D A Gremse, A I Sacks
Apr 17, 2004·Journal of Gastroenterology and Hepatology·Alexander A Nijevitch, Peter L Shcherbakov
Mar 8, 2007·Annals of Saudi Medicine·A R Khan

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