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Peptic Ulcers and Erosions in Children at a Pediatric Unit in Turkey
Tugba Koca1, Filiz Serdaroglu, Selim Dereci
1Department of Pediatric Gastroenterology, Hepatology and Nutrition, Suleyman Demirel University School of Medicine, Isparta, Turkey. Correspondence to: Dr Tugba Koca, Department of Pediatrics, Suleyman Demirel University School of Medicine, Cunur, Isparta, Turkey. tgkoca@gmail.com.
Insights
Pediatric peptic ulcers and erosions were studied in 1,026 children. Key risk factors identified were Helicobacter pylori infection and non-steroidal anti-inflammatory drug use.
Area of Science:
- Pediatric Gastroenterology
- Gastrointestinal Endoscopy
- Microbiology
Background:
- Peptic ulcer disease and erosions affect children.
- Understanding pediatric gastrointestinal conditions is crucial.
Purpose of the Study:
- To characterize peptic ulcers and erosions in pediatric patients.
- To identify common risk factors in this demographic.
Main Methods:
- Upper gastrointestinal endoscopy performed on 1,026 children over seven years.
- Analysis of patient data to identify ulcers, erosions, and associated factors.
Main Results:
- Peptic ulcers and erosions found in 7.2% of patients (59/1,026).
- Acute upper gastrointestinal bleeding occurred in 50.9% of affected children.
- Helicobacter pylori positivity in 45.8% and ulcerogenic medication use in 22%.
Conclusions:
- H. pylori infection is a significant risk factor for pediatric peptic ulcers and erosions.
- Non-steroidal anti-inflammatory drug (NSAID) use is another primary risk factor.
- These findings aid in diagnosing and managing pediatric gastrointestinal issues.
Objective:
To study the characteristics of peptic ulcer and erosion in pediatric patients.
Methods:
Over a period of seven years, 1,026 children underwent upper gastrointestinal endoscopy in our pediatric gastroenterology unit.
Results:
Peptic ulcers and erosions were found in 59 (7.2%) patients [ulcers in 42 (5.1%)and erosions in 17 (2.1%)]. Thirty (50.9%) children presented with acute upper gastrointestinal bleeding. Helicobacter pylori positivity was found in 27 patients (45.8%), and ulcerogenic medication use was found in 13 (22%) patients.
Conclusion:
The main risk factors for childhood peptic ulcer and erosions were H. pylori infection and non-steroidal anti-inflammatory drug use.