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Duodenal pathologies in children: a single-center experience

Ulas Emre Akbulut1, Sami Fidan2, Hamdi Cihan Emeksiz3

  • 1Kanuni Training and Research Hospital, Department of Pediatric Gastroenterology, Hepatology and Nutrition, Trabzon, Turkey.

Jornal De Pediatria
|September 11, 2017
PubMed

Insights

Pediatric duodenal pathologies were found in 30.3% of children undergoing endoscopy. These cases showed higher rates of chronic diarrhea and Helicobacter pylori infection, highlighting the need for further research into childhood duodenal diseases.

Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Pathology

Background:

  • Limited research exists on duodenal pathologies in children compared to stomach and esophageal conditions.
  • Understanding these conditions is crucial for accurate diagnosis and treatment in pediatric patients.

Purpose of the Study:

  • To investigate the clinical, endoscopic, and histopathological features of duodenal pathologies in children.
  • To determine the prevalence and etiological factors of duodenal diseases in the pediatric population.

Main Methods:

  • Retrospective analysis of 747 children (aged 1-17 years) who underwent esophagogastroduodenoscopy.
  • Data collected included demographics, clinical presentation, endoscopic findings, and histopathology, focusing on duodenal pathology, gastritis, and esophagitis.

Main Results:

  • Duodenal pathology was identified in 30.3% of pediatric patients.
  • Patients with duodenal pathology exhibited significantly higher rates of chronic diarrhea (OR: 3.91) and a higher prevalence of Helicobacter pylori infection (59.3%).
  • Esophageal and gastric pathologies were also common, present in 31.6% and 58.4% of patients, respectively.

Conclusions:

  • Duodenal pathology is a significant finding in pediatric endoscopy, affecting nearly one-third of patients.
  • Chronic diarrhea and Helicobacter pylori infection are strongly associated with duodenal pathologies in children.
  • The study highlights a higher-than-expected rate of H. pylori infection and a weak correlation between endoscopic and histological findings in duodenitis.
Abstract

Keywords:
ChildrenCriançasDuodeniteDuodenitisEndoscopiaEndoscopy

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