What Are the Most Common Causes of Ulcers In Children?

Peptic ulcers in children are divided into primary and secondary types. Primary ulcers in children under 6 years old are mainly gastric ulcers. Later, duodenal ulcers are dominant, and children with gastric ulcers are younger (newborn (It is not immune), duodenal ulcers are older. The incidence of male children is higher than that of female children, ranging from 3: 1 to 6: 1. Ulcers in children under 10 years of age are secondary ulcers. Peptic ulcers are relatively rare in children, with 1 in 2500 children hospitalized for peptic ulcers. Due to the lack of typical symptoms of peptic ulcers in children, the clinical manifestations at various ages are poor and large, and misdiagnosis and missed diagnosis are prone to occur.

Peptic ulcer in children

Peptic ulcers in children are divided into primary and secondary types. Primary ulcers in children under 6 years old are mainly gastric ulcers. Later, duodenal ulcers are dominant, and children with gastric ulcers are younger (newborn (It is not immune), duodenal ulcers are older. The incidence of male children is higher than that of female children, ranging from 3: 1 to 6: 1. Ulcers in children under 10 years of age are secondary ulcers. Peptic ulcers are relatively rare in children, with 1 in 2500 children hospitalized for peptic ulcers. Due to the lack of typical symptoms of peptic ulcers in children, the clinical manifestations at various ages are poor and large, and misdiagnosis and missed diagnosis are prone to occur.

Chinese name:

Peptic ulcer in children

Visiting department:

Pediatrics

Schematic diagram of peptic ulcer in children

Morbidity of peptic ulcer in children

X-ray scan of peptic ulcer in children

X-ray of peptic ulcer in children

Diagnosis of peptic ulcer in children

Diagnosis of peptic ulcer in children

Pathology of peptic ulcer in children

Medication for children with peptic ulcer

Pediatric Peptic Ulcer Surgery

The prognosis of children with peptic ulcer gastroduodenal ulcer is related to the age of onset, the nature of the ulcer disease and the presence or absence of complications. Most infants and young children are acute ulcers, often accompanied by bleeding and perforation. The younger the disease, the more severe the disease, such as the higher the mortality rate of perforation. Older children have a strong ability to repair. The history of ulcer disease is generally lighter than that of adults. Many cases can be cured quickly by medical treatment, but it is easier to relapse after cure, and the recurrence rate is about 50%. Pediatric ulcer surgery has greater risk and postoperative complications than adults. Neonatal and infantile gastroduodenal ulcers are mostly acute ulcers or stress ulcers. They are often treated after bleeding or perforation, and the mortality rate can reach 10.4% to 77.7%. In cases of ulcer perforation repair and gastric antrum excision, the children developed well after long-term follow-up, and there were no clinical symptoms of ulcer recurrence. Zhong Lin and others reported 33 cases of peptic ulcers in children and children, 8 cases were cured by conservative treatment, 25 cases were treated with surgery, except for 2 cases with perforation repair, 2 cases with gastrointestinal anastomosis and highly selective vagustotomy. Partial gastrectomy was performed. There were no recent postoperative complications and death in all cases. Nineteen patients were followed up for 2 to 20 years (average 8 years). Three patients had iron deficiency anemia, and the rest had no symptoms and grew well. Ruan Qinglan et al. Reported the results of gastroduodenal ulcer in children treated mainly with partial gastrectomy or hemi-gastrectomy. Among the 8 patients interviewed for 1 to 4 years, the clinical symptoms had disappeared, and no ulcer recurred. One patient had severe anemia, hemoglobin 65 g / L, red blood cells 1.9 × 106 / L, and barium meal had gastritis. In more than 50% of cases of gastrectomy, because most of the stomach body is removed, the neurohumoral regulation of gastrin is reduced, the secretion of gastric acid and pepsin is reduced, and the digestion and absorption of food are affected, causing malnutrition and iron deficiency Anemia affects children's growth and development. Huo Yuqin and other surgical treatment of 16 cases of gastroduodenal ulcer in children, 2 cases underwent perforation repair, 3 cases of gastric antrum resection; 2 cases of semi-gastrectomy, 9 cases of major gastric resection. Fifteen cases were followed up for 1 to 9 years, and 7 cases developed anemia, including 5 cases of severe anemia. The size of the peripheral blood and bone marrow examination of red blood cells were different, which showed iron deficiency anemia.