| ObjectiveThe aims of this study were to explore the causes of abdominal pain, to analysethe types and clinical characteristics of diseases in children with abdominal pain, toprovide a scientific basis for early diagnosis and effective treatment.Methods477abdominal pain patients who were examined by gastroscopy were collectedfrom Children’s Hospital of Changchun between January2012and September2013.The age range was from6months to16years old. According to the UpperGastrointestinal Endoscopy version2004, the patients were examined by usingelectronic gastroscope model OlYMPUS-XP260. The manifestations and diagnosisunder gastroscope were recorded. The review children were diagnosed by the resultsof the most severe lesions or pathology. The Hp was detected and analyzed forchildren with long history or serious abdominal pain. Detection by Giemsa to searchHp under the gastroscopy and testing Hp with the method13C-UBT are the two mainways to test Hp.Meanwhile,with the consent of the guardians,the data were fromsurveys as well,including clinical symptoms, characteristics of abdominal pain,family history, eating habits. when we have a agreement with the guardians ofpatients. The data were analysed by the SPSS19.0. The significant difference was P<0.05.Results1.Abdominal pain with endoscopy results: In477cases of abdominal pain withendoscopy results for upper gastrointestinal diseases.262cases (54.9%) patients aresimple chronic superficial gastritis,130cases (27.3%) chronic superficial gastritiswith oesophagitis or duodenal bulb inflammatio,35cases (7.3%) digestive ulcerdiseases,32cases (6.7%) acute gastric mucosal lesion (acute gastritis),8cases (1.7%)gastric volvulus,7cases (1.5%) bile reflux gastritils,2cases (0.4%) Mallory-Weisssyndrome,and1case (0.2%) eosinophilic gastroenteritis.2. Abdominal pain with clinical characteristics: There is a distinct difference among the262cases accompanied by symptoms of the length of the disease,theposition of the pain,symptoms and its relieving was (р <0.05).The disease courserangd from2to3months.The abdominal pain usually happens to be the upperabdomen and periumbilical area,accompanying by the main symptoms of nausea andvomiting;under gastroscope,it was given priority to mucosal hyperemia edema,andpart by erosion.130cases of superficial gastritis with ooesophagitis or duodenal bulbinflammation associated with symptoms, alleviate the obvious differences between (р<0.05); mainly accompanied by nausea and vomiting, many children had no effectiveways to relieve it; Observed under gastroscope,most were accompanied by mucosalhyperemia and edema,fewer were by erosion.The35cases of digestive ulcer in theduodenal ulcer;the6months to6years old group suffered mainly fromperiumbilical pain, and the7to16-year-old group mainly epigastric pain; anotherfeature is the mucosal lesion and epigastric pain were the main symptoms of the32cases. Under gastroscope,the one who took corrosive chemical,whose gastric mucosawas erosive,and others’ are gastric mucosal hyperemia.8cases had the followingsymptoms as gastric volvulus,accompanied by vomiting, and it would aggravate aftereating; Under gastroscope,it is difficult to march gastroscope,and the gastric mucosalfolds and stomach of anatomical are abnormal.Position of the pain of the7caseswhose bile reflux gastritis was not fixed, distal gastric mucosal hyperemia and edemawere observed under gastroscope,and bile regurgitation would be seen as well.2casesof abdominal pain with Mallory-Weiss syndrome is performed with upper abdominalpain,distal esophageal mucosal hyperemia and edema seen under gastroscope,with thedentate line longitudinal mucosal tearing, and hemorrhagic rift.1case of abdominal pain waswith eosinophilic gastroenteritis, and the position of the abdominal pain was notfixed.Mucosal hyperemia, edema, and nodules were observed under gastroscope.Pathological examinationed revealed a large number of acidophilic granulocyte infiltration,each high power field of vision more than15acidophil.3. Abdominal pain with basic situation:(1) distribution of ages:7to16-year-old children accounted for more than the majority,which has statisticmeanings(р <0.05).(2) distribution of gender:Compared with other diseases,insimple chronic superficial gastritis with acute gastric mucosal lesions, superficial gastritis with oesophagitis or duodenal bulb inflammation and acute gastric mucosalinjury, acute gastric mucosa injury,gender difference has statistic meanings (р <0.05). Simple chronic superficial gastritis, superficial gastritis with oesophagitis orduodenal bulb inflammation, peptic ulcer, acute gastric mucosa injury more femalesthan males.4. Abdominal pain with diet:Bad eating habits had statistic meanings among thedifferences of simple chronic superficial gastritis and superficial gastritis withoesophagitis or duodenal bulb inflammation (р <0.05).The patients with theprevious symptoms tend to have bad eating habits.5. Abdominal pain with helicobacter pylori infection: The rate of Hp infectionhad statistic meanings(р <0.05) among simple chronic superficial gastritis,chronicsuperficial gastritis with oesophagitis or duodenal bulb inflammation and digestiveulcer diseases.The rate of Hp infection of different ages had statistic meanings(р <0.05).Different genders had no statistic meanings in the rate of Hp infection.Conclusion1.The findings got from gastroscope of the children abdominal pain were uppergastrointestinal diseases,most of which are caused by simple chronic superficialgastritis.2. Abdominal pain differs in different genders and ages,and it has changed withdifferent clinical manifestations,different symptoms and bad eating habits.3. Hp infection of the children with abdominal pain has no relationship withgender but with age.The rate of Hp infection of the differet upper digestive tractsdiffers in different ages,of which the elder groupe were more likely to be infected.4. Gastroscopy is an effective way to diagnose pediatric abdominal pain. |
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