FEATURES OF CLINICAL-ENDOSCOPIC PICTURE OF GASTRODUODENAL PATHOLOGY IN CHILDREN ASSOCIATED WITH HELICOBACTER PYLORI

Аннотация

Currently, the global scientific community continues to discuss the role of Helicobacter pylori (Hp) in the development of gastrointestinal pathologies. Despite the presence of H. pylori infection, most people are unaware of their infection and do not receive timely and necessary treatment. The purpose of our study was to study the characteristics of the clinical and endoscopic picture of diseases of the gastroduodenal zone in children depending on the presence of H. pylori. The study materials were 46 children with pathology of the gastroduodenal zone, aged from 12 to 17 years, who were in 2 clinics of SamSMU and on outpatient treatment from September 2022 to September 2023. Depending on the presence of H. pylori, patients were divided into two groups: group 1 patients with H. pylori infection 25 people (54.3%), group 2 patients without H. pylori 21 (45.7%) people were infected. The results of the study showed that upon admission to the hospital, patients presented a variety of complaints: epigastric pain, heartburn, belching, nausea and loss of appetite; these complaints were more often observed in patients of group 1 21±4.6%, with heartburn more than 2 times. Depending on gender, the frequency of detection of H. pylori in 58.3% of cases was observed in boys and in 72.7% in girls. In the absence of clinical manifestations of the disease, pathology of the gastroduodenal zone was endoscopically confirmed in 5 (20%) children of group 1, while H. pylori was present in 4 and was not detected in only 1 child.