title: [Helicobacter pylori infection in children with celiac disease].
abstract: The purpose of this study is to evaluate symptomatology, endoscopic and histopathologic changes of Helicobacter pylori infection and gastritis lesions without Helicobacter pylori infection on children diagnosed with celiac disease.
  
  
  METHODS
  15 children under gluten-free diet were selected and, because of the recurrence of the dyspeptic syndrome, an upper digestive endoscopy associated with histopathologic exam was performed. Considering the histopathologic result we made two groups: first group (8 children with celiac disease and Helicobacter pylori infection) and second group (7 children with celiac disease without Helicobacter pylori infection, but associated with gastritis lesions).
  
  
  RESULTS
  The main symptom was diffuse abdominal pain in both groups. The endoscopic antrum aspects were congestive with striped aspect (first group--12.5%, second group--42.9%) and congestive with nodulation (first group--25%, second group--14.3%). The histopathologic diagnosis were: moderate active chronic pangastritis (first group--25%, second group--14.3%) moderate active chronic gastritis (first group--25%,second group--14.3%), lymphocytic gastritis (first group--12.5%, second group--14.3%).
  
  
  CONCLUSIONS
  The histopathologic exam remains the gold standard for celiac disease, gastritis lesions and Helicobacter pylori infection.
authors.affiliation: Clinica a III-a Pediatrie, Facultatea de Medicina, Universitatea de Medicină si Farmacie "Gr.T. Popa" Iaşi.
authors.forename: Silvia
authors.initials: S
authors.lastname: Ghimpu
authors.forename: Laura
authors.initials: L
authors.lastname: Bozomitu
authors.forename: E
authors.initials: E
authors.lastname: Cârdei
authors.forename: Carmen
authors.initials: C
authors.lastname: Oltean
authors.forename: M
authors.initials: M
authors.lastname: Burlacu
authors.forename: Dana
authors.initials: D
authors.lastname: Anton
authors.forename: Laura
authors.initials: L
authors.lastname: Trandafir
authors.forename: Doina
authors.initials: D
authors.lastname: Mihăilă
authors.forename: D
authors.initials: D
authors.lastname: Moraru
mesh_terms: D015746:Abdominal Pain / Q000382:microbiology; D000293:Adolescent; D002446:Celiac Disease / Q000150:complications* / Q000175:diagnosis / Q000382:microbiology / Q000473:pathology*; D002648:Child; D002675:Child, Preschool; D055050:Diet, Gluten-Free; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005756:Gastritis / Q000382:microbiology / Q000473:pathology; D016481:Helicobacter Infections / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D016480:Helicobacter pylori / Q000302:isolation & purification; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D012307:Risk Factors; D012720:Severity of Illness Index