Kawakami E, Maranhão H de S, Tahan S
Departamento de Pediatria, Escola Paulista de Medicina, São Paulo.
Arq Gastroenterol. 1992 Oct-Dec;29(4):161-5.
The coexistence of moderate and severe asthma and duodenal ulcer is not very well established as yet. We started a protocol trying to establish the presence of reflux esophagitis in children with moderate or severe asthma. Thirty two patients underwent upper digestive endoscopy and, surprisingly, we found six children (18.7%) with the following digestive aspects: four children had duodenal ulcer, and two had erosive duodenitis. We report these cases and discuss some etiopathogenic aspects about these possible association, and beware the clinician to pay attention to abdominal pain in children with bronchial asthma.
中度和重度哮喘与十二指肠溃疡并存的情况目前尚未得到充分证实。我们启动了一项方案,试图确定中度或重度哮喘患儿是否存在反流性食管炎。32例患者接受了上消化道内镜检查,令人惊讶的是,我们发现6名儿童(18.7%)存在以下消化系统情况:4名儿童患有十二指肠溃疡,2名患有糜烂性十二指肠炎。我们报告这些病例,并讨论这些可能关联的一些病因学方面的问题,提醒临床医生注意支气管哮喘患儿的腹痛情况。