Çocukluk çağı üst gastrointestinal sistem yakınmaları ve ösefajit
Küçük Resim Yok
Tarih
1998
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Kronik karın ağrısı, kusma, hematemez ve/veya melena gibi üst sindirim sistemi ile ilgili yakınmaları olan 292 hasta ile kontrol grubunu oluşturan 55 çocukta yapılan toplam 347 üst gastrointestinal sistem endoskopisinde, endoskopik ve histolojik olarak ösefajit bulguları araştırıldı. Endoskopik olarak hasta grubunda 34 (%11), kontrol grubunda bir çocukta (% 2) ösefajit gözlendi. Histolojik olarak ise hasta grubunda 57 (% 20), kontrol grubunda ise beş çocukta (% 9) ösefajit saptandı. Hasta grubunda ösefajitlerin 33'ü (% 58), kontrol grubunda üçü (% 60) Helikobakter pilori enfeksiyonu ile birlikte idi. Hasta grubunda ösefajitli 57 hastanın 22'sinde (% 7.5), kontrol grubunda beş çocuğun ikisinde (% 4) histolojik olarak sadece ösefajit bulguları saptanırken, geri kalanlarda ösefajite üst sindirim sisteminin diğer patolojileri eşlik ediyordu. Kronik karın ağrısı ile başvuran 185 hastanın 16'inde (% 8) ağrı nedeni olarak sadece ösefajit saptandı. Ösefajitler genelde endoskopik ve histolojik olarak hafif veya orta derecede değişiklikler gösteriyordu. Ösefajitlerin %52'sinde mukozanın endoskopik olarak normal saptanması, her endoskopik girişimde ösefagustan biyopsi alınmasının gerekliliğini gösterdi.
We evaluated the endoscopic and histologic findings in 347 children (292 undergoing endoscopy for upper gastrointestinal symptoms and 55 asymptomatics) for the presence of esophagitis. In the endoscopie examination, 34 of 292 patients (11%) and one of 55 asymptomatic children had esophagitis. Histologically, esophagitis was detected in 57 of 292 patients (20%) and in five of 55 (9%) in the control group. Of the children with esophagitis in the patients group, 33 (58%) were infected with Helicobacter pylori as were three of the five children (60%) with esophagitis in the control group. Esophagitis alone was observed in the remaining 22 of 57 patients (7.5%) and in two of five (4%) in the control group. Of 185 children with chronic recurrent abdominal pain, esophagitis alone was detected in 15 (8%) . Endoscopie and histologie findings of esophagitis were moderate. Fifty-two percent of the endoscopic findings were normal. Therefore, eşophageal biopsies should be obtained in all patients even when no gross mucosal abnormalities are found.
We evaluated the endoscopic and histologic findings in 347 children (292 undergoing endoscopy for upper gastrointestinal symptoms and 55 asymptomatics) for the presence of esophagitis. In the endoscopie examination, 34 of 292 patients (11%) and one of 55 asymptomatic children had esophagitis. Histologically, esophagitis was detected in 57 of 292 patients (20%) and in five of 55 (9%) in the control group. Of the children with esophagitis in the patients group, 33 (58%) were infected with Helicobacter pylori as were three of the five children (60%) with esophagitis in the control group. Esophagitis alone was observed in the remaining 22 of 57 patients (7.5%) and in two of five (4%) in the control group. Of 185 children with chronic recurrent abdominal pain, esophagitis alone was detected in 15 (8%) . Endoscopie and histologie findings of esophagitis were moderate. Fifty-two percent of the endoscopic findings were normal. Therefore, eşophageal biopsies should be obtained in all patients even when no gross mucosal abnormalities are found.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp, Pediatri
Kaynak
Çocuk Sağlığı ve Hastalıkları Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
41
Sayı
1
