Uğraş Meltem, Pehlivanoğlu Ender
Department of Pediatrics, Kocatepe University Faculty of Medicine, Afyonkarahisar, Turkey.
Turk J Pediatr. 2011 Nov-Dec;53(6):632-7.
Helicobacter pylori (H. pylori) infection is mainly acquired in childhood and is frequent in developing countries. The infection is associated with chronic gastritis in all infected children, but peptic ulcer disease develops in a small number of them. In our country, H. pylori infection and associated peptic ulcer disease are common. In eastern Turkey, we found peptic ulcer disease in 13.2% of children who underwent endoscopic examination. Peptic ulcers were mostly gastric ulcers and H. pylori-positive in the studied population, and most of the children were admitted due to abdominal pain. As there are no well-established criteria leading directly to diagnosis, pediatricians should include H. pylori infection and peptic ulcer disease in the differential diagnosis list when evaluating children with abdominal pain, failure to thrive and upper gastrointestinal system bleeding.
幽门螺杆菌（H. pylori）感染主要在儿童期获得，在发展中国家很常见。所有受感染儿童都会出现与慢性胃炎相关的症状，但只有少数儿童会发展为消化性溃疡病。在我国，幽门螺杆菌感染及相关的消化性溃疡病很常见。在土耳其东部，我们发现接受内镜检查的儿童中13.2%患有消化性溃疡病。在研究人群中，消化性溃疡大多为胃溃疡且幽门螺杆菌呈阳性，大多数儿童因腹痛入院。由于没有直接诊断的成熟标准，儿科医生在评估有腹痛、发育不良和上消化道系统出血的儿童时，应将幽门螺杆菌感染和消化性溃疡病列入鉴别诊断清单。
