Clinical features of pathology of digestive organs in children of vinnytsia and zhytomyr regions

Abstract

The aim: to analyze the structure of morbidity, features of clinical manifestations and endoscopic picture of the disease of the digestive system in children.
Materials and methods. A retrospective analysis of case histories of 230 children (96 boys (40.5%) and 134 girls (59.5%)), who underwent inpatient examination and treatment in the pediatric department No. 1 of VRCCH and in the pediatric department No. 2 of the ZRCCH during the period 2018–2019 was conducted.
Results. In the structure of morbidity of children undergoing treatment with gastroenterological diseases, gastroduodenitis takes the first place in the the upper gastrointestinal tract affection — 35.2%, functional dyspepsia — 19.5% gastric ulcer and duodenum — 7.7%, GERD takes the first place — 2.7%, esophagitis — 1.8% of the cases and other gastrointestinal diseases — 51.1%. With the help of FEGDS, endoscopic forms of the disease were identified, which occupies the first place in the structure of the examined children — gastroduodenitis (GD): erythematous GD — 61.2% of cases, nodular GD — 22.6% and erosive in 16.2% of cases. The analysis of the results of the clinical study showed that at the examined children the prevalence of pain syndrome prevailed in more than 90.0% of cases. While dyspeptic syndrome was present in more than 50.0% of cases, astheno-vegetative syndrome was present in one third of cases.
Conclusions. It was found that diseases of the digestive system are more common in children aged 12 to 17 years (62.7%). Abdominal pain-predominant functional gastrointestinal disorders affect more than 90.0% of children and often associated with H. pylori–infection (56.0% of cases) of more than 15.9% of cases showed reinfection. Further study of the clinical features of the diseases course of digestive organs at different age children groups, should enhance to the improvement of the prophylactic, diagnostic and treating measures at pediatrics.
The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of all participating institution. The informed consent of the patient was obtained for conducting the studies.