Chronic gastroduodenal pathology in schoolchildren: the clinical picture and features of the course

Abstract

The aim of the study was to study the course and clinical manifestations of chronic gastroduodenal pathology (CGDP) in schoolchildren.Materials and methods. Clinically examined 286 children and adolescents from 6 to 15 years old with СGDP. The research methods included collection of anamnestic data, instrumental and functional (esophagogastroduodenoscopy, pH-metry), clinical and laboratory (general blood analysis, coprology), and Helicobacter pylori infection was tested by respiratory test and fecal immunochromatographic test.Result. Studies have shown that the main clinical manifestations of СGDP in children were dyspeptic syndrome, vegetovascular dysfunction, and pain syndrome, against the background of objectively visible signs of anemia. Symptoms were more characteristic in patients with СGDP from vegetovascular dysfunction: loss of appetite (83.6%), fatigue (83.2%), recurrent headaches (62.2%), and sleep disturbances (59.1%). Among dyspeptic disorders, unstable stools (85%), periodic nausea (57.7%), belching (56.6%), and a feeling of heaviness in the epigastric region after eating (56.3%) prevailed. Clinical symptoms more pronounced in children with chronic gastritis.Conclusion. For schoolchildren with CGDP, vegetovascular dysfunction (98.9%) with severe dyspeptic disorders (100%) and pain (79%), against the background of objective signs of anemia (53%), is more characteristic. In adolescents is more often a less symptomatic.

The premorbid background and the most significant predictors of the development chronic gastroduodenal pathology in children

“…Так по результатам анализа данных социальногигиенического анкетирования, психологического тестирования призывников за пятилетний период 48,6% лиц призывного возраста страдающих заболеваниями органов пищеварения, признаны ограниченно годными и 9,4% временно не годными к военной службе в Удмуртской Республике РФ [6]. Как было показано в нашем предыдущем исследовании [5] Одним из предикторов развития ХГДП можно считать избыточная масса тела и ожирение, в результате нарушения режима питания. Проблема ожирения всегда была одним из актуальных проблем медицины.…”