EVALUATION OF CHILD PATIENTS WITH PEPTIC ULCER: A SINGLE CENTER EXPERIENCE

Yıl 2022, Cilt: 23 Sayı: 4, 463 - 470, 17.10.2022

Gülseren Evirgen Şahin , Ferda Özbay Hoşnut , Aysun Tekeli

https://doi.org/10.18229/kocatepetip.1072916

Öz

OBJECTIVE: Data on the incidence of peptic ulcer in childhood and risk factors other than Helicobacter pylori (Hp) are insufficient. The aim of this study is to determine the frequency, clinical findings, risk factors and complications of gastroduodenal ulcer in children.
MATERIAL AND METHODS: The endoscopy reports and file information of the children who underwent esophagogastroduodenoscopy in our center between May 2011 and December 2018 were reviewed retrospectively.
RESULTS: Of the 5892 pediatric patients examined, 448 (7.6%) had peptic ulcers. Of the ulcers evaluated, 69% were duodenal, 27.4% were gastric, and 3.6% were both gastric and duodenal ulcers. The most common (52.2%) symptom was dyspepsia. The most common risk factor in peptic ulcers was Hp (66.5%). Nonsteroidal anti-inflammatory drugs were found to be the second most common (5.8%) risk factor. No risk factor could be demonstrated in 14.95% of the cases. Complications secondary to peptic ulcer disease were detected in 70 (15.7%) of the patients. The complications were; bleeding in 50 (12.7%) patients, gastric outlet obstruction in 11 (2.4%) patients, and perforation in 2 (0.4%) patients.
CONCLUSIONS: Helicobacter pylori infection is the most important risk factor for peptic ulcer in children. However, in cases where Hp cannot be demonstrated, other risk factors should be investigated.

Anahtar Kelimeler

Peptic ulcer disease, Helicobacter pylori, Epidemiology, Risk factors, Complication

PEPTİK ÜLSERLİ ÇOCUK HASTALARIN DEĞERLENDİRİLMESİ: TEK MERKEZ DENEYİMİ

Öz

AMAÇ: Çocukluk çağında peptik ülser sıklığı ve Helicobacter pylori (Hp) dışındaki risk faktörleri ile ilgili veriler yetersizdir. Bu çalışmanın amacı çocuklarda gastroduodenal ülser sıklığını, klinik bulgularını, risk faktörlerini ve komplikasyonları belirlemektir.
GEREÇ VE YÖNTEM: Merkezimizde Mayıs 2011 - Aralık 2018 tarihleri arasında özofagogastroduodenoskopi yapılan çocukların endoskopi raporları ve dosya bilgileri geriye dönük olarak incelendi.
BULGULAR: İncelenen 5892 pediyatrik hastanın 448'inde (%7,6) peptik ülser vardı. Değerlendirilen ülserlerin %69'u duodenal, %27,4'ü gastrik ve %3,6'sı hem gastrik hem de duodenal ülser idi. En sık (%52,2) semptom dispepsi idi. Peptik ülserlerde en sık risk faktörü Hp (%66,5) idi. Nonsteroid antiinflamatuar ilaçlar ikinci en yaygın (%5,8) risk faktörü olarak bulundu. Vakaların %14,95'inde herhangi bir risk faktörü gösterilememiştir. Hastaların 70'inde (%15,7) peptik ülser hastalığına sekonder komplikasyonlar saptandı. Komplikasyon 50 (%12,7) hastada kanama, 11 (%2,4) hastada gastrik çıkış obstrüksiyonu ve 2 (%0,4) hastada perforasyon idi.
SONUÇ: Helicobacter pylori enfeksiyonu çocuklarda peptik ülser için en önemli risk faktörüdür. Ancak Hp'nin gösterilemediği durumlarda diğer risk faktörleri araştırılmalıdır.

Anahtar Kelimeler

Peptik ülser hastalığı, Helicobacter pylori, epidemiyoloji, Risk faktörleri, Komplikasyon

Kaynakça

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