2012
DOI: 10.1097/meg.0b013e3283543ee7
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Serum gastrin levels and gastroduodenal lesions in children with chronic renal failure on continuous ambulatory peritoneal dialysis

Abstract: On the basis of our findings, such as higher serum gastrin levels in patients with CRF than those of the control group and the frequent endoscopic findings of gastroduodenal lesions in most of the patients, we recommend that an endoscopic examination should be considered for all the children with CRF on CAPD awaiting renal transplantation even if they are asymptomatic.

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Cited by 8 publications
(7 citation statements)
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“…Gastropathies are commonly found in both adults and children with chronic renal failure (CRF) or end-stage renal disease (also termed uraemic gastritis) and in the post-renal transplant period (115)(116)(117)(118). The mechanism resulting in gastritis involves elevated gastrin level, increased production of gastric acid, delayed gastric emptying, complex disorder of gastrointestinal motility, and uraemic toxicity (119).…”
Section: Other Causes Of Gastritismentioning
confidence: 99%
“…Gastropathies are commonly found in both adults and children with chronic renal failure (CRF) or end-stage renal disease (also termed uraemic gastritis) and in the post-renal transplant period (115)(116)(117)(118). The mechanism resulting in gastritis involves elevated gastrin level, increased production of gastric acid, delayed gastric emptying, complex disorder of gastrointestinal motility, and uraemic toxicity (119).…”
Section: Other Causes Of Gastritismentioning
confidence: 99%
“…It is remarkable that asymptomatic CRF patients also had findings at upper GI endoscopy. Upper GI lesions were reported in 25 to 75% of CRF patients of all ages [2][3][4][5][6][7][8]. Although underlying mechanisms were not clearly identified, hypergastrinemia, achlorhydria, and chronic use of an ulcer/gastritis predisposing medication, besides an increase in bile reflux secondary to uremia [10] and decrease in basal bicarbonate secretion of the pancreas were blamed [11].…”
Section: Discussionmentioning
confidence: 99%
“…Although it is known that the frequency of such upper gastrointestinal (GI) system diseases is higher in patients with chronic renal failure (CRF), the reason for this increase is not entirely understood. Possible causes are hypergastrinemia, achlorhydria, medication, and Helicobacter pylori (Hp) infection [1][2][3][4][5][6]. The increasing incidence of upper GI diseases in CRF is a significant cause of mortality and morbidity [2].…”
Section: Introductionmentioning
confidence: 99%
“…Hemorrhagic gastritis is infrequently encountered in children, and reported cases have documented a variety of etiologies including viral infections, oncologic infiltrates, non-steroidal anti-inflammatory drug use and hypergastrinemia, and cow's milk protein allergy (4)(5)(6). In a study of 19 children with chronic renal failure who underwent endoscopy and measurement of serum gastrin levels, hemorrhagic gastritis was the most common abnormal endoscopic finding, seen in 31.5% (6). The mucosal changes in these patients were attributed to hypergastrinemia from chronic renal failure.…”
Section: Discussionmentioning
confidence: 99%