Helicobacter pylori infection in children: potential clues to pathogenesis

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Μικρογραφία εικόνας

Ημερομηνία

Συγγραφείς

Mitchell, H. M.
Bohane, T. D.
Tobias, V.
Bullpitt, P.
Daskalopoulos, G.
Carrick, J.
Mitchell, J. D.
Lee, A.

Τίτλος Εφημερίδας

Περιοδικό ISSN

Τίτλος τόμου

Εκδότης

Περίληψη

Τύπος

Είδος δημοσίευσης σε συνέδριο

Είδος περιοδικού

peer-reviewed

Είδος εκπαιδευτικού υλικού

Όνομα συνεδρίου

Όνομα περιοδικού

J Pediatr Gastroenterol Nutr

Όνομα βιβλίου

Σειρά βιβλίου

Έκδοση βιβλίου

Συμπληρωματικός/δευτερεύων τίτλος

Περιγραφή

Children (227) undergoing endoscopy for upper gastrointestinal symptoms were investigated for the presence of Helicobacter pylori infection. The histological response to H. pylori infection and the presence of antral nodularity and peptic ulceration were noted. Symptomatic adults (258) undergoing endoscopy were also investigated for the presence of nodularity. H. pylori infection was detected histologically in 32 of 227 (14.1%) children. Of those children infected with H. pylori, half (50%) had antral nodular gastritis. Of 139 H. pylori-positive adults 22 (15.8%) showed nodularity. The active component of the histological response was found to be minimal or lacking in the majority of children infected with H. pylori. Twelve of the 227 children (5.3%) had peptic ulcer disease. Of these, nine were duodenal and three gastric ulcers. Of the nine children with duodenal ulceration three (33%) were infected with H. pylori. As a result of this study we conclude that (a) although antral nodularity occurs more frequently in children it is not exclusive to childhood, (b) the polymorphonuclear response in children is less than that reported in adults, and (c) peptic ulcer disease is rare in children and the present study would suggest that in children it is less frequently associated with H. pylori infection than in adults.

Περιγραφή

Λέξεις-κλειδιά

Acute Disease, Adolescent, Adult, Age Factors, Aged, Child, Child, Preschool, Chronic Disease, Duodenum/microbiology/pathology, Female, Gastritis/epidemiology/microbiology/pathology, Gastroscopy, Helicobacter Infections/*epidemiology/microbiology/pathology, *Helicobacter pylori, Humans, Immunoglobulin G/analysis, Incidence, Infant, Male, Middle Aged, Peptic Ulcer/epidemiology/microbiology/pathology, Prospective Studies, Stomach/microbiology/pathology

Θεματική κατηγορία

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Σύνδεσμος

http://www.ncbi.nlm.nih.gov/pubmed/8450376

Γλώσσα

en

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Όνομα επιβλέποντος

Εξεταστική επιτροπή

Γενική Περιγραφή / Σχόλια

Ίδρυμα και Σχολή/Τμήμα του υποβάλλοντος

Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής

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Χορηγός

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