- Course features of the chronic gastroduodenitis with underlying food hypersensitivity in adolescents
Course features of the chronic gastroduodenitis with underlying food hypersensitivity in adolescents
SOVREMENNAYA PEDIATRIYA.2018.3(91):54-58; doi 10.15574/SP.2018.91.54
Bogdanova T. A., Berezenko V. S., Pyankova O. V., Gurjeva O. V., Golovanenko G. M.
Bogomolets National Medical University, Kyiv, Ukraine
Kyiv Сhildren's Clinical Hospital No.9, Ukraine
Objective: to reveal the features of the course of chronic gastroduodenal pathology in adolescents with food hypersensitivity.
Material and methods. Fifty adolescent patients aged from 12 to 17 years old with chronic gastroduodenal pathology with underlying food hypersensitivity were observed. Depending on the level of IgE, the children were divided into two observation groups: with IgE(+) and IgE(-). Evaluation of medical history and clinical data in adolescents, the results of fibrogastroduodenoscopy, intragastric pH-metry, diagnosis of H. pylori with the urease and respiratory «Helik-test» were provided.
Results. Adolescents with IgE(+) and IgE(-) had such diagnoses as: chronic infectious Hp-associated gastroduodenitis, chronic gastritis associated with duodenal reflux, chronic gastroduodenitis with erosive gastropathy or duodenopathy and allergic duodenitis.
Conclusions. Adolescents with IgE(+) status had an intense pain in the abdomen that was not associated with eating. In turn, the abdominal pain of the children with IgE(-) status was not intensive and was associated with food intake. The main symptom of dyspeptic syndrome of adolescents with IgE(-) was nausea.
Key words: adolescents, chronic gastroduodenal pathology, food hypersensitivity.
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