López GH, Sánchez MA, Gispert CN, Garduño HI

Language: Spanish
References: 23
Page: 51-54
PDF size: 139.75 Kb.

ABSTRACT

The recurrent abdominal pain (APR) is a frequent disease of pediatrics ages and is associated with very different pathologies, between those the inflammatory processes gastroduodenals caused by Helicobacter pylori. We have realized a prospective, transverse and observational research in 25 children at hospital «Dr. Darío Fernández Fierro», ISSSTE with the diagnosis of APR. The bioest group was the infant (0.52); 23 children have been received multiple treatments (0.92). All patient was submitted to a endoscopy with takes of biopsia and histological analisys of the samples. They’re reported alterations suggestive of infection by H. pylori in 24 patients (0.96) and histological alterations in 17 patients (0.69). We could seen in two patients the bactery (H.P) in the biopsy. The serology test was positive in ten patients (0.40). We conclude the children with recurrent abdominal pain (APR) and another gastrointestinal symptoms in those that exclude quirurgical patology, we must considered like potential infected patients, by H. pylori and will be useful a serologic test to decided when will started the antibiotic treatment.
The endoscopy test taking a biopsy for the histological examination continuous being useful to confirmed the diagnosis or to, evaluate the failure treatment or bactery eradication.

REFERENCES

1. Udall J. ,Infección por Helicobacter pylori en niños, Características asociadas. Crecer, Medicina de la Infancia 1996; 4(1): 4-5.

2. Dahesa M. Importancia clínica del Helicobacter pylori, Temas actuales de Medicina Interna-Gastroenterología. Asociación de Medicina Interna México 1994; 11(4): 575-89.

3. Méndez C, y cols. Diagnostico de Helicobacter pylori en niños con dolor abdominal recurrente mediante la técnica de ELISA. Revista de enfermedades infecciosas en pediatría 1994; 8(29): 56-59.

4. Marshall BJ, Warren JR . Unidentified curver bacilli in the stomachs of patients with gastritis and peptic ulceration. Lancet 1984; 1: 133-35.

5. Yoram M. Shimon R. Helycobacter pylori y enfermedad ácido péptica en el paciente pediátrico. Clínica Pediátrica de Norte América 1995; 203-217.

6. Mitchell H. Helicobacter pylori infection in children potential clues to pathogenesis. Journal Gastroenterology and Nutrition 1993; 16: 120-125.

7. Bleker U. Helicobacter pylori disease in childhood. Pediatrics 1996; 175-183.

8. Sinatra F, Pietzak M. Helicobacter pylori infection in children. Pediatric and Neonatal infeccions 1996; 9: 187-190.

9. Cilleruelo M. Urruzuno P. Tratamiento con triple terapia durante un mes versus dos semanas, en la enfermedad gastro duodenal por Helicobacter pylori en niños. Anales Españoles de Pediatría 1996; 44(4): 456-460.

10. Farrel M. Dr. Apley meets Helicobacter pylori. Journal Pediatric of Gastroenterology and Nutrition 1993; 16: 118-119.

11. Reyes A. Conceptos actuales en enfermedad ácido péptica. Revista Merck Sharp & Dohme 1997: 1-10.

12. Cardoso J, Gispert N. Helicobacter pylori asociado a gastritis crónica: estudio con microscopia electrónica. Revista de la Facultad de Medicina, Universidad Nacional Autónoma de México 1996; 39(3): 83-86.

13. Maoyyecli P, Carter A. Validación de un análisis de rápido de sangre total para diagnosticar infección por Helicobacter pylori. British Medical Journal 1997; 5: 64-65.

14. Macias G. Infección por Helicobacter pylori en la infancia. Práctica Pediátrica 1998; 7(3): 33-34.

15. Bomanico M, Mariani P. Helicobacter pylori duodenal colonization in children. Acta Pediatrica 1997; 6: 356-360.

16. Bleker U, Lanciers S. The prevalence of Helicobacter pylori positivity is a symptom free population age 1-40 years. Journal clinic Epidemiology 1994; 47: 1095-98

17. Oliveira A. Seroprevalence of Helicobacter pylori infection in children of low socioeconomic level in Belo Horizonte Brazil. American Journal Gastroenterology 1994; 89: 2201-04.

18. Milov D. Infantile Helicobacter pylori Associated with tikened gastric folds. Journal of Pediatrics Gastroenterology and Nutrition 1995; 21: 107-109.

19. Hadicar W, Colin F, Smith A, Oberklaid F. Helicobacter pylori and recurrent abdominal Pain in Children. Journal of Pediatric Gastroenterology and Nutrition 1996; 22: 148-152.

20. Radhakrisman A. Helicobacter pylori Associated a Gastritis in Kuwait; Endoscopy based estudy in symptomatic and asymptomatic children. Journal of Pediatric gastroenterology and Nutrition 1993; 16: 125-129.

21. Bourke B. Helicobacter pylori infection and peptic Ulcer disease in children. Pediatr linfec Dis JS 1996; 15: 1-13.

22. Drum B. Helicobacter pylori in the pediatric patient. Gastroenterol. Clin North Am 1993; 22: 169-182.

23. Barthel J. Everett D. Diagnosis of Campylobacter pylori infections. The gold standard and the alternatives. Rev Infect Dis 1990; 12: 107-114.