[Chronic peptic ulcer among students and adolescents].
The clinical records of 13 school-age children and of 22 adolescents with chronic peptic ulcer were reviewed. There was a predominance of the male sex and duodenal localization showed greater frequency than the gastric. The duration of symptoms previous to the diagnosis was greater in adolescents and repeated X-ray studies were required in school-agers to confirm the presence of an ulcer niche. The common symptoms were abdominal pain and vomiting. However, in 43% of the patients, abdominal pain was not typical of ulcer; therefore, all school-age children and adolescents with recurrent abdominal pain should be submitted to careful investigation. Anxiety and depression were found in 92.3% of the cases. Special ulcer diets and antiacids were given to all patients, but 8 cases showed no improvement. Psychiatric treatment and administration of psychodrugs may be useful. Diazepam was given to 50% of the patients who recovered and to one who did not recover.
D000293:Adolescent; D000367:Age Factors; D000863:Antacids / Q000627:therapeutic use; D002648:Child; D002908:Chronic Disease; D004035:Diet Therapy; D004381:Duodenal Ulcer / Q000188:drug therapy / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008800:Mexico; D010437:Peptic Ulcer / Q000453:epidemiology*; D012572:School Health Services; D013276:Stomach Ulcer / Q000188:drug therapy / Q000453:epidemiology
D000863:Antacids
Ulcera péptica crónica en escolares y adolescentes.