1. The incidence and clinical manifestations in pediatric gastritis
Author: Diaconu Niculina-Oana
Coordinator:Reka Borka Balas
University of Medicine and Pharmacy,
Pediatric Department Number One, Tg. Mures

2. Helicobacter pylori infections
Gastritis is an inflamatory process, acute or chronic, localized diffuze or focal in the gastric mucosa of the stomach.
The positive diagnosis of the gastritis is given on Sydney’s system criteria:
endoscopic
histological
From etilogic point of view there are two forms of gastritis:
Bile reflux
The primary one
Helicobacter pylori infections
Burns, infections, drugs, head trauma, caustic and corrosive substances, system diseases, etc
Secondary one

3. Mecanical aggressions (insufficient mastication, tough cellulose abuse)
Physical aggresions ( ingestion of too cold or to warm food)
Chimical aggression ( nonsteroid anti-inflamatory drugs, corticosteroids, alcohol, smoking, corrosive substances, cytostatics)
The risk factors
Food abuses
Stress, psycho-affective lability

4. Purpose
to determinate the incidence and evaluating symptoms, methods of diagnosis in pediatric gastritis, the gravity of some risk factors
not the aim of this study to evaluate risk factors

5. Material and method
a retrospective study includes 209 patients of years, admitted to the Pediatric Clinic I Targu-Mures between
Patients with age between :0-18
Gender
Residence
Risk factors
Symptoms
Outcome of endoscopy that confirms the gastritis
Histological changes
Variables

6. Results
209 patients, 61,7% were female and 38,3% were male

7. Age of patients and their place of living
Distribution of cases
based on age groups
Place of living

8. Helicobacter pylori infection

9. Risk factors and seasonal evolution of the gastritis
Risk factors of gastritis

10. Symptoms of gastritis and localization of abdominal pain

11. Distribution of cases based on age group and epigastric pain

12. Distribution of cases based on age group and diffuse pain

13. Correlations between age groups and abdominal pains
0-4 years
Diffuse
P=0,079
Periombilical
Age groups
Abdominal pain
Epigastric
Above 10 years
P=0,001

14. Endoscopic aspect of gastric mucosa

15. Paving stone appearance, folicullare mucosa
and Helicobacter pylori infection

16. Correlations between endoscopic aspect and Helicobacter pylori
Eritemato-exudative
P=0,004
Folliculare
Endoscopic aspect
HP+
P=0,119
Hemorrahagic
Paving stone appearance
P=0,000

17. Conclusions
The incidence of gastritis nowadays, can be appreciated due to the modern techniques of investigation by gastroscopy
Gastritis is more frequent in female
The most affected group of age was years
In 54,5% of the cases was presented the inadequate feeding and in 28,7% the heredo-collateral antecedents
We remarked a seasonal evolution of the disease in children to, with two morbidity peaks: spring time and autumn
The most common symptom was abdominal pain
The epigastric pain has been correlated with the age groups over 10 years, and the diffuse pain in age group of 0-4 years
The follicular aspect and the paving stone appearance have been correlated with the presence of Helicobacter Pylori infection

18. Thank you!