Peptic ulcer disease in children: An uncommon disorder with subtle symptomatology

Deng

BMC Musculoskelet Disord

et al. 2015

BackgroundThe purpose of this study was to investigate the prevalence of four types of chronic pain (headache, abdominal pain, neck and shoulder pain (NSP), and low back pain (LBP)) and to explore the relationship between the prevalence of chronic pain and self-reported academic pressure in high school students in Shanghai, China.MethodThree thousand students were randomly surveyed on related issues using a questionnaire, and the results were analyzed using a multivariate logistic regression model.ResultsAmong the 2849 high school students who completed the questionnaire, the overall prevalence rates of headache, abdominal pain, NSP, and LBP were 30.3, 20.9, 32.8, and 41.1 %, respectively. The students in general experienced a heavy burden of learning, a high level of stress, and sleep deprivation, which were closely related to the four types of chronic pain.ConclusionChronic pain is a common condition in Chinese adolescents and is closely related to self-reported academic pressure.

Section: Discussionmentioning

confidence: 99%

A cross sectional study between the prevalence of chronic pain and academic pressure in adolescents in China (Shanghai)

Deng

BMC Musculoskelet Disord

et al. 2015

“…It was thought that this situation was the result of the duodenal localization of the majority of ulcers with Hp positivity. However, although the major risk factor was Hp in the studies of Egbaria et al (11) and Ecevit et al (16), the majority of ulcers were located in the stomach.…”

Section: Discussionmentioning

confidence: 90%

“…In studies reported from different geographical regions of the world, the frequency of PUD in children is 1.8-33.1% (10)(11)(12)(13)(14). In studies conducted in our country, the frequency of PUD was reported between 0.98-13.2% (15)(16)(17)(18)(19)(20). In our study, the frequency of PUD was found 7.6% in children, and it is similar to the literature.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Child Patients With Peptic Ulcer: A Single Center Experience

Hoşnut

Tekeli

2022

Kocatepe Tıp Dergisi

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.

Case Reports in Pediatrics

“…PDU, the commoner of peptic perforation, is nevertheless an uncommon complication of PUD which in itself is an infrequent diagnosis in children [ 1 , 5 – 7 ]. The primary factors associated with PUD are blood group O, H. pylori infection, sickle cell disease, and Zollinger–Ellison syndrome [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Perforated Duodenal Ulcer in a Young Nepalese Girl: An Infrequent Diagnosis for Age

Shrestha

2021

Perforated duodenal ulcer (PDU) is exceedingly uncommon in children. In a child with acute abdomen and pneumoperitoneum, an appendiceal etiology is more often suspected as a likely cause. Failure or delay to diagnose a PDU can result in significant morbidity and even mortality. We report a case of acute abdomen in a girl with PDU with a successful outcome. A 12-year-old school girl presented to emergency room (ER) with acute generalized abdominal pain for 2 days. Clinical examination revealed florid peritonitis, and abdominal radiographs showed free peritoneal air. At emergency laparotomy, PDU was noted with general peritoneal contamination. Omental patch repair and continued supportive care resulted in gradual improvement. PDU is an uncommon cause of peritonitis in children and poses significant challenges in management. Strong suspicion and prompt appropriate intervention is necessary to avoid untoward outcomes.