Diseases of children (pediatrics)

Symptoms of chronic gastritis and gastroduodenitis

The clinical symptoms of chronic gastritis or duodenitis in children do not have specific specific manifestations. Isolated duodenitis is a rare pathology in childhood. Precise localization of the inflammatory process is established endoscopically.

What causes chronic gastritis and gastroduodenitis?

Prolonged N. Pylori stay in the gastric mucosa results in neutrophilic and lymphocytic infiltration with stimulation of pro-inflammatory and immunoregulatory cytokines, which forms a specific T- and B-cell response and provokes an atrophic process, interstitial metaplasia and neoplasia.

Chronic gastritis and gastroduodenitis in children

Chronic gastritis and chronic gastroduodenitis are the most common gastroenterological diseases of childhood, occurring with a frequency of 300-400 per 1,000 children, and isolated lesions do not exceed 10-15%. Epidemiology of chronic gastritis and gastroduodenitis in children.

Functional indigestion in children

Functional upset stomach - a violation of the motor or secretory function of the stomach, flowing with the phenomena of gastric dyspepsia, in the absence of morphological changes in the mucous membrane.

Chronic esophagitis in children

Chronic esophagitis is an inflammatory-dystrophic lesion of the mucosa of the esophagus. In the structure of diseases of the digestive organs, esophagitis is 11-17%.

How is gastroesophageal reflux disease in children treated?

The question of the expediency of prescribing antisecretory drugs (blockers of histamine H2-receptors or proton pump inhibitors) is decided individually, taking into account the prevailing clinical symptom complex, the results of the study of the acid-forming function of the stomach (hypersecretory status), daily pH monitoring (severe acid gastroesophageal reflux), and inadequate effectiveness of the basic curative program.

Diagnosis of gastroesophageal reflux disease in children

By combining the clinical picture and endoscopic features, the following forms of gastroesophageal reflux disease in children are distinguished.

Gastroesophageal reflux disease in children

Gastoesophageal reflux disease is a chronic relapsing disease that is characterized by cases of abnormal casting of stomach contents into the esophagus, regardless of whether morphological changes occur in the esophagus or not. In most patients, as a result of frequent casting, the mucosa of the esophagus becomes inflamed, reflux esophagitis develops.

Dyskinesia of the esophagus in children: causes, symptoms, diagnosis, treatment

Dyskinesia of the esophagus - violation of esophagus motility in the absence of gastroesophageal reflux and signs of inflammation of the mucous membrane.

Achalasia of the esophagus in children: causes, symptoms, diagnosis, treatment

Achalasia of the esophagus (cardiospasm) is a primary abnormality of the esophagus motor function, characterized by an increase in the tone of the lower esophageal sphincter (NPS), which leads to a violation of its relaxation and a decrease in the peristalsis of the esophagus.

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