Karaeva V.U. 1
Boraeva T.T. 2
Tsvetkova L.N. 3
Filin V.A. 3
1 Children’s Republican Hospital Barbashova str. 33
2 North Ossetian State Academy Pushkinskaya str.40
3 The Russian National Reseach Medical University named after N.I. Pirogov (RNMU) Ostrovitianov str.1
There was an increase of frequency of erosions and ulcers of the upper gastrointestinal tract from 14.5 % to 24.8 % in children and adolescents of the Republic of North Ossetia-Alania within the period 2005-2009. The increase was revealed both in first diagnosed cases and in the recurrent forms of the disease. Erosive and ulcerative lesions were more often diagnosed in children aged 12–17 (75.0 %). Stress or acute ulcers were characteristic of young children. 99.2 % of the children were examined for H. pylori infection and 89.1 % of them were H. pylori-positive. In 7.6 % the process was complicated by gastrointestinal bleeding. Only 21.1 % of the diagnosed were treated in out-patient conditions (31.8 %). In 78.9 % the general condition of patients, clinical state and complications required their planned hospitalization (68.2 %) and emergent hospitalization (31.8%). The revealed results urge to the necessity to find ways of impoving both diagnostic algorithm and treatment of erosive and ulcerative lesions of the upper gastrointestinal tract in children.
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