Babich I.A., Lebedeva O. M., Michaylova E.A., Zolotareva M.A., Pashchenko I.V.

State Institution “Crimea State Medical University named after S.I. Georgievsky”, Simferopol, Ukraine.

FEATURES, INCIDENCE AND MORBIDITY OF REFLUX-EZOPHAGITIS IN CHILDREN IN THIS DAY

Aim: To analyze the occurrence and characteristics of reflux-esophagitis in children with chronic nonspecific gastroduodenal diseases, undergoing treatment on the basis of gastroenterology department 2-nd Children's Hospital of Simferopol in 2012 year.

Methods of diagnosis of reflux-esophagitis (RE): EFGDS (Esophagogastroduodenoscopy), scintigraphy, research on Helicobacter pylori and intragastric pH-metry.

Results of investigation: analysis of the data showed that the prevalence of RE was 14.2 % in children with chronic disorders of the digestive system, and noted that morbidity in 100% of cases were chronic Helicobacter Pylori gastroduodenal diseases (chronic gastritis and gastroduodenitis, peptic ulcer , duodenal ulcer), every child had combined pathology of the digestive system (in addition to gastroduodenal lesions observed chronic cholecystitis, gall bladder dysfunction, reactive pancreatitis). The research proved that there is a direct proportional dependence of RE on age and sex of the child.

The highest frequency of RE was observed in the ages 12-17 and the frequency was significantly higher in boys. A clear seasonal exacerbation (October and February-March) was noted. Clinical symptoms were identified; such as manifestations of esophageal (heartburn, vomiting, regurgitation, belching) and RE extra-esophageal manifestations (respiratory and ⁄ or vegetative dysfunction). All patients received therapy according to the protocol (diet and drug therapy). As a result of treatment, in all patients positive dynamics were noted in the form of improved general condition and well-being, reduction or disappearance of abdominal pain syndrome, respiratory and vegetative disorders.

Conclusions:

1. High prevalence of RE in children suffering from chronic disorders of the digestive system.

2. Frequency of RE increases in direct proportion to the age and sex of the child, as well as the time of year.