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88963

IDENTIFICATION OF UNDERLYING CAUSES OF CHRONIC UNSPECIFIC UPPER GASTROINTESTINAL-RELATED SYMPTOMS IN CHILDREN, A PILOT STUDY

Article

Last updated: 25 Dec 2024

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Abstract

Upper gastrointestinal tract (GIT) symptoms are not disease specific and of limited value in the differentiation of GIT disorders. The present study aimed to determine the etiology of chronic unspecific symptoms in children and to test the need for upper endoscopy in diagnosis. This is a prospective study for 30 Egyptian children presented with chronic upper GIT symptoms for at least 2 months. History regarding severity and frequency of GIT symptoms were asked for. Children with known disorder that explains presenting symptoms were excluded. Upper GIT endoscopy was performed and 5 biopsies were obtained for pathological examination and for H pylori testing. The results showed that children age ranged between 2.5-18 years with mean + SD of 13.6 + 3.4 and 63.3% were females. The main complaints were epigastric pain in 43.3%, hematemesis in 30% and vomiting in 26.7%. Motility disorders were diagnosed in 66.7% children; in the
form of GERD in 63.3% and achalasia in one. Complication of GERD in the form of erosive esophagitis was present in 15.8% children, while Barrett's esophagus was not observed. H. pylori infection was diagnosed in 80% histologically. Eosinophilic esophagitis was not detected.

DOI

10.21608/jesp.2016.88963

Keywords

children, Egypt, Endoscopy, Erosive esophagitis, GERD, H pylori, Pathology

Authors

First Name

HANAN

Last Name

FOUAD

MiddleName

M.

Affiliation

Departments of Pediatrics, National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt.

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Orcid

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First Name

NOUR

Last Name

ABDULLA

MiddleName

A.

Affiliation

Departments of Tropical Medicine, National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt.

Email

-

City

-

Orcid

-

First Name

SUZAN

Last Name

EL NAGHY

MiddleName

-

Affiliation

Departments of Pediatrics, National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt

Email

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City

-

Orcid

-

First Name

EHSAN

Last Name

HASSAN

MiddleName

H.

Affiliation

Departments of Pathology, National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt

Email

-

City

-

Orcid

-

First Name

AMAL

Last Name

ABD EL-HAMID

MiddleName

-

Affiliation

Departments of Pediatrics, National Hepatology and Tropical Medicine Research Institute (NHTMRI), Cairo, Egypt

Email

-

City

-

Orcid

-

Volume

46

Article Issue

1

Related Issue

13375

Issue Date

2016-04-01

Receive Date

2020-05-13

Publish Date

2016-04-01

Page Start

145

Page End

156

Print ISSN

1110-0583

Online ISSN

2090-2549

Link

https://jesp.journals.ekb.eg/article_88963.html

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https://jesp.journals.ekb.eg/service?article_code=88963

Order

17

Type

Original Article

Type Code

1,127

Publication Type

Journal

Publication Title

Journal of the Egyptian Society of Parasitology

Publication Link

https://jesp.journals.ekb.eg/

MainTitle

IDENTIFICATION OF UNDERLYING CAUSES OF CHRONIC UNSPECIFIC UPPER GASTROINTESTINAL-RELATED SYMPTOMS IN CHILDREN, A PILOT STUDY

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Article

Created At

22 Jan 2023