Helicobacter pylori and recurrent pain abdomen.

Objective: Pain abdomen is a common problem in childhood. Many factors i.e., organic changes in the gut, psychological and environment contribute to recurrent pain abdomen (RAP) in children. Helicobacter pylori infects children very early in childhood and stays indefinitely in the gut without its er...

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Publicado en:Indian Journal of Pediatrics Vol. 72; no. 7; pp. 561 - 566
Autores principales: Biswal N, Ananathakrishnan N, Kate V, Srinivasan S, Nalini P, Mathai B, Biswal, Niranjan, Ananathakrishnan, N, Kate, Vikram, Srinivasan, S, Nalini, P, Mathai, Betsy
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jul2005
Acceso en línea:Ver este registro en EBSCOhost
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    pubinfo:
      dt: Jul2005
      vid: 72
      iid: 7
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      pub: Springer Nature
      place: New York, New York
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        atl: Helicobacter pylori and recurrent pain abdomen.
      aug:
        au:
          Biswal N
          Ananathakrishnan N
          Kate V
          Srinivasan S
          Nalini P
          Mathai B
          Biswal, Niranjan
          Ananathakrishnan, N
          Kate, Vikram
          Srinivasan, S
          Nalini, P
          Mathai, Betsy
        affil: Department of Pediatrics, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India
      sug:
        subj:
          Abdominal Pain Etiology
          Helicobacter Infections Diagnosis
          Helicobacter Pylori
          Peptic Ulcer Complications
          Adolescence
          Amoxicillin Administration and Dosage
          Amoxicillin Therapeutic Use
          Antibiotics Therapeutic Use
          Child
          Child, Preschool
          Clarithromycin Administration and Dosage
          Clarithromycin Therapeutic Use
          Comorbidity
          Diagnosis, Differential
          Endoscopy
          Evaluation Research
          Female
          Helicobacter Infections Complications
          Helicobacter Infections Drug Therapy
          Helicobacter Infections Epidemiology
          Helicobacter Infections Risk Factors
          India
          Male
          Omeprazole Administration and Dosage
          Omeprazole Therapeutic Use
          Peptic Ulcer Drug Therapy
          Peptic Ulcer Etiology
          Prospective Studies
          Recurrence
          Treatment Outcomes
          Urease Diagnostic Use
          Human
          Adolescent: 13-18 years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Female
          Male
      ab: Objective: Pain abdomen is a common problem in childhood. Many factors i.e., organic changes in the gut, psychological and environment contribute to recurrent pain abdomen (RAP) in children. Helicobacter pylori infects children very early in childhood and stays indefinitely in the gut without its eradication. It may be responsible for pain abdomen and peptic ulcers in children. This study was done to assess the HP status in children with RAP diagnosed and evaluate the effects of eradication of HP infection in them.Methods: 76 children were included in the study.Result: Out of 76 children studied 14.8% had evidence of a secondary cause for pain abdomen and responded to appropriate therapy. 65.45% of children who had undergone UGIE, had evidence of HP infection in the upper gastrointestinal tract. Most of these children responded to HP eradication therapy by becoming free of abdominal pain after the eradication therapy with OCA or OMA regimen. We could not do repeated endoscopies in all of them to prove the eradication due to parents' refusal and this is the main drawback of this study.Conclusion: However, in view of clinical response to HP eradication therapy in almost all the cases, we strongly advocate this therapy for those children with RAP, in whom HP infection of the upper gastrointestinal tract can be established beyond doubt.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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