[Helicobacter pylori infection in children with celiac disease].
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.
Ghimpu
Silvia
S
Clinica a III-a Pediatrie, Facultatea de Medicina, Universitatea de Medicină si Farmacie "Gr.T. Popa" Iaşi.
Bozomitu
Laura
L
Cârdei
E
E
Oltean
Carmen
C
Burlacu
M
M
Anton
Dana
D
Trandafir
Laura
L
Mihăilă
Doina
D
Moraru
D
D
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