title: [Primary peptic ulcer in childhood: apropos of 20 cases studied using digestive fiberendoscopy].
abstract: We report a review of 20 children (14 males and 6 females) between 3 1/2-13 years of age (mean 9.7/ 12 years) with primary peptic ulcer disease, diagnosed by digestive fiberendoscopy. Endoscopy revealed 18 duodenal and 2 gastric ulcers. Positive family history was found in 45% of the patients. Abdominal pain was the most common presenting symptom and gastrointestinal bleeding was the only complication. The time before diagnosis was lesser than one month in 10%, between one to six months in 30% and more than months in 60% of patients. The follow-up period rate from three to 46 months (mean 14.9/12 months). Radiological study was performed in 18 patients and led 50% of false negative. A satisfactory response to mean treatment was found in all cases. Three patients related No patients required surgical treatment.
authors.affiliation: Sección de Gastroenterología y Nutrición Pediátrica, Hospital General de Valencia.
authors.forename: P
authors.initials: P
authors.lastname: Polo Martín
authors.forename: M
authors.initials: M
authors.lastname: Calabuig Sánchez
authors.forename: C
authors.initials: C
authors.lastname: Tomás Rates
authors.forename: V
authors.initials: V
authors.lastname: Alvarez Angel
authors.forename: E
authors.initials: E
authors.lastname: Medina Chuliá
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004384:Duodenoscopy; D005188:False Negative Reactions; D005260:Female; D005336:Fiber Optic Technology; D005773:Gastroscopy; D006801:Humans; D008297:Male; D010437:Peptic Ulcer / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011859:Radiography
vernacular_title: Ulcus péptico primario en la infancia: a propósito de 20 casos estudiados mediante fibroendoscopia digestiva.