文本框: GASTROSCOPIC EXAMINATION OF 67 CHILD CASES WITH ITS CLINICAL DATA ANALYSIS Wu Xingheng, Cheng Xiao, Tan Daoquan The First Affiliated Hospital Pediatric Department, JiangXi Medical College, China Objective: To reveal the value of gastroscopy and its clinical significance in childhood. Methods: The gastroscopic examination and clinical data of 67 Child Cases, aged 5 to 14 were analyzed retrospectively. 52 patients had alimentary tract hemorrhage, among them 6 patients occurred syncope, 46 patients had different degree of anima. 13 patients hospitalized due to suddenly alimentary bleeding without any correlative past-history. 42 patients suffered from abdominal pain that located around the umbilicus or in the epigastrium, even radiated to the chest. The pain didn’t related obviously to the digestive cycle. The helicobacter pylori (Hp) urease test was examined in 26 duodenal ulcers patients. The hepatitis B virus (HBV) antigens and antibodies in serum were measured in 51 patients. Result: The gastroscopy found out 42cases of duodenal ulcer, 4 cases of gastric ulcer, 17 cases of superficial gastritis and each one of esophagitis, gastroesophagitis, severe varicose veins of the esophagus and cardiac achalasia. The vast majority of duodenal ulcer occurred in the duodenal bulb (92.8%), and was usually single ulcer (61.4%). The gastric ulcer is frequently involved the gastric antrum. The gastroscopic appearances of gastritis include hyperemia edema erosion of mucous membrane, flower patch (chequered with red and white), mucus speck, bleeding, micronodule, biliary regurgitation. The duodenal or gastric ulcer may co-exist with gastritis or antral gastritis and produce deformity or stenosis of pylorus or duodenum. Hp was positive in 73. 1% (19 cases). The infection rate of HBV was 74.5% (38 cases). Conclusion: During childhood the peptic ulcer is not rare, and is less distinctive as to its symptoms than adult. The onset time or location of abdominal pain is atypical, and is impossible to elicit its relative past-history, even some cases of acute hemorrhage hadn’t abdominal pain. Such conditions may be due to duodenal or gastric ulcer coexisted with gastritis, and frequently children are vague and inaccurate about describing their complaints, or the onset of inflammation is acute. Thus the gastroscopic examination is most important diagnostic procedure to children patients with alimentary tract hemorrhage and abdominal pain of unknown origin. Hp may be the biological etiologic factor of peptic ulcer. The relationship between the higher infection rate of HBV and peptic ulcer should pay more attention. 0712