Peptic Disease in Childhood in Asir Province

Telmesani, Abdulwahab

doi:10.5144/0256-4947.1994.125

Cited by 4 publications

(6 citation statements)

References 16 publications

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“…This result is similar to that observed in other developing countries [20], but higher than that previously observed in a previous study on Saudi Arabia children, which included asymptomatic patients and determination of H. pylori status by serology [21]. In contrast, two additional studies in Saudi Arabia [16,22] reported H. pylori infection in 67-87% of children; however, all patients in the said study had peptic disease. The variation in H. pylori detection rates between studies is likely due to differences in the patient inclusion criteria, sample size, methodology for H. pylori detection, and the presence or the absence of peptic ulcer disease.…”

Section: Discussionsupporting

confidence: 89%

“…In contrast, two additional studies in Saudi Arabia reported H. pylori infection in 67–87% of children; however, all patients in the said study had peptic disease. The variation in H. pylori detection rates between studies is likely due to differences in the patient inclusion criteria, sample size, methodology for H. pylori detection, and the presence or the absence of peptic ulcer disease.…”

Section: Discussionmentioning

confidence: 76%

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Prevalence and Risk Factors of Helicobacter pylori Infection in Saudi Children: A Three‐Year Prospective Controlled Study

et al. 2014

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Helicobacter pylori infection had a high prevalence among Saudi children in the cities of Jeddah and Riyadh. It was a relatively common cause of abdominal pain and anorexia. In this cohort of children, H. pylori infection was associated with variables indicative of a crowded environment and poor living conditions, further supporting the conclusion that improving socioeconomic conditions and designing a preventive health strategy in Saudi Arabia will likely protect children against this infection.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 76%

Prevalence and Risk Factors of Helicobacter pylori Infection in Saudi Children: A Three‐Year Prospective Controlled Study

et al. 2014

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“…[ 7 – 8 ] In Saudi Arabia, H. pylori was found in 67-87% of the children with peptic disease. [ 9 – 10 ] A study of H. pylori among children with chronic diseases in Jeddah, Saudi Arabia, showed a prevalence of 23.6%. [ 11 ] The relationship of H. pylori with recurrent abdominal pain (RAP) is still controversial.…”

mentioning

confidence: 99%

Helicobacter Pylori: Prevalence and relationship with abdominal pain in school children in makkah city, western Saudi Arabia

Telmesani

2009

Saudi J Gastroenterol

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Background/Aim:The published data on Helicobacter pylori (H. pylori) prevalence and its relationship with abdominal pain in Saudi Arabia is scarce. This study was carried out to determine the prevalence of H. pylori and its relationship with chronic recurrent abdominal pain (RAP) among school students in Makkah City, Saudi Arabia.Materials and Methods:Three hundred and fourteen school students, 103 at the intermediate level (grades 7-9) aged 12-15 years and 211 at the secondary level (grades 10-12) aged 15-18 years were tested for H. pylori. Urea breath test (UBT) was used for this purpose. Children with chronic RAP were identified as per the Apley criteria.Results:Overall, the UBT was positive in 86/314 (27.4%) students. It was positive in 45/103 (43.7%) intermediate school students and 41/211 (19.4%) secondary students. Out of the 55 students with chronic RAP, 40 (73%) were positive for H. pylori. Further, 62.9% and 82.1% were positive among the intermediate and secondary school students with RAP, respectively. The overall and specific odds ratios of RAP were 12.35 [95% confidence interval (C.I.) 6.30-24.22] and 10.40 (95% C.I. 1.75-11.73) for the intermediate school students and 22.69 (95% C.I. 7.99-64.44) for the secondary school students.Conclusion:The prevalence of H. pylori among the school children in Makkah, Saudi Arabia, is relatively low compared with developing countries. The prevalence was found to be higher among the younger age group. Further, there was a significant relation between H. pylori infection and RAP among the school students.

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“…Heredity and emotional stress have been implicated in the aetiology of peptic ulcer disease in children. 1,4,5 In this study, only the patient suspected of having Zollinger-Ellison syndrome had a positive family history of peptic ulcer disease in his father. Helicobacter pylori infection is frequently associated with antral gastritis in children, 5± 8 and has been implicated in the aetiology of duodenal ulcer and relapse after treatment.…”

Section: Discussionmentioning

confidence: 97%

“…3 The problem of diagnosis of peptic ulcer disease in children is further compounded by the fact that barium meal examination is reliable only in a small number of cases as barium may be trapped in a gastric or duodenal fold, giving the appearance of an ulcer crater. 1,2,5,11 Upper gastro-intestinal endoscopy, which is now a safe and effective procedure in children, 9,12 is therefore indicated in patients with recurrent abdomnal pain and a negative or equivocal barium meal study. Unfortunately, endoscopic facilities are available in only a few centres in tropical Africa.…”

Section: Discussionmentioning

confidence: 99%

Peptic ulcer disease in childhood in Zaria, Nigeria

Ameh

1999

Annals of Tropical Paediatrics

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Over a 10-year period in a busy paediatric surgical unit, six children were operated upon for peptic ulcer disease, four of whom presented with complications (pyloric stenosis, two; perforation, one; bleeding, one). Truncal vagotomy with a drainage procedure was the operation of choice in five of the children in whom there were no complications. One child suspected of having Zollinger-Ellison syndrome had recurrence of symptoms. Symptoms of peptic ulcer disease in children are non-specific, and in our environment such symptoms are frequently considered to be due to parasitic infestation. Barium meal is not very sensitive in diagnosis in children, and the relative lack of availability of endoscopic services limits pre-operative diagnosis. It is suggested that peptic ulcer disease be considered in children who have persistent or recurrent abdominal pain of obscure aetiology.

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Peptic Disease in Childhood in Asir Province

Cited by 4 publications

References 16 publications

Prevalence and Risk Factors of Helicobacter pylori Infection in Saudi Children: A Three‐Year Prospective Controlled Study

Prevalence and Risk Factors of Helicobacter pylori Infection in Saudi Children: A Three‐Year Prospective Controlled Study

Helicobacter Pylori: Prevalence and relationship with abdominal pain in school children in makkah city, western Saudi Arabia

Peptic ulcer disease in childhood in Zaria, Nigeria

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