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[The clinical manifestations of peptic esophagitis in children]
B Espín Jaime1, C Coronel Rodríguez, M Allieri
1Unidad de Gastroenterología, Hospital Universitario Virgen Macarena, Sevilla.
Insights
Pediatric peptic esophagitis presents differently by age, with vomiting common in younger children and abdominal pain in older ones. Early diagnosis is key, leading to frequent detection of mild esophagitis.
Area of Science:
- Pediatric Gastroenterology
- Clinical Medicine
Background:
- Peptic esophagitis is a condition affecting the esophagus.
- Understanding its clinical presentation in children is crucial for diagnosis and management.
Purpose of the Study:
- To investigate the diverse clinical manifestations of peptic esophagitis in children.
- To analyze the relationship between age and presenting symptoms.
Main Methods:
- Retrospective review of 445 pediatric cases diagnosed with peptic esophagitis via endoscopy or biopsy.
- Analysis of clinical histories, focusing on reasons for endoscopy and symptoms.
Main Results:
- Vomiting was the primary symptom in children under 2 years.
- Vomiting and abdominal pain were prevalent in the 2-6 year age group.
- Abdominal pain was the predominant symptom in children over 6 years, showing statistical significance.
Conclusions:
- A significant correlation exists between patient age and clinical presentation of peptic esophagitis.
- No statistical correlation was found between esophagitis grade and clinical symptoms or age.
- Early diagnosis contributes to a high frequency of mild (Grade I) esophagitis.
Objective:
To study the clinical spectrum of peptic esophagitis during childhood.
Patients And Methods:
The clinical histories of 445 cases of peptic esophagitis, diagnosed by means of endoscopy or biopsy, in children between 1 month and 14 years of age were reviewed in order to analyze the reasons for endoscopy and the clinical symptoms presented.
Results:
In the group under 2 years of age, the main symptom was vomiting, while in those between 2 and 6 years old it was also vomiting followed by abdominal pain. However, there was no significant difference between the groups. In the group over 6 years old, the chief complaint was abdominal pain with a statistically significant difference.
Conclusions:
1) We found a statistically significant relationship between age and clinical data. 2) After comparing the grades of esophagitis with clinical symptoms and the age of the patient, no statistical correlation was found. 3) There is a high frequency of esophagitis I because of an early diagnosis.