Endoskopicheskaya i morfologicheskaya kharakteristika sostoyaniya zheludka pri sklerodermii u detey
Vitaliy Khrisanfovich Sosyura , A Ya Shershevskaya , T V Ryabova
Russian Medicine ›› 2010, Vol. 16 ›› Issue (4) : 23 -25.
Endoskopicheskaya i morfologicheskaya kharakteristika sostoyaniya zheludka pri sklerodermii u detey
A gastric endoscopic study performed in 260 children with scleroderma revealed chronic gastritis in 245 (94.2%) cases. A histological examination of gastric mucosal biopsy specimens verified the endoscopic diagnosis of antral gastritis associated with Helicobacter pylori in 81.3% of cases. Vivid hyperemia and diffuse mucosal edema are characteristic signs in 88 (35.9%) patients with scleroderma. Of them 33 (37.5%) patients were found to have gastric mucosal erosions and 10 children had erosions and submucosal hemorrhage.In 147 (60%) patients with scleroderma, the stomach displayed abundant congestion contents as thick dark bile and turbid mucus, in individual cases with debris of the food taken before. Delay in emptying the stomach contents was substantially more frequently observed in patients with scleroderma than in those with gastroduodenitis from a control group. Delayed evacuation of stomach contents and multiple antral mucosal hemorrhagic erosions are likely to be a nonrandom phenomenon associated with systemic sclerosis.
children / scleroderma / gastric endoscopic study
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