title: A Case of Small Bowel Ulcer Associated with Helicobacter pylori.
abstract: The etiology of peptic ulcer disease in children may be primary, associated with Helicobacter pylori infection, or secondary, relied on underlying disease. Ulcerative lesions by H. pylori are mainly distributed in the duodenal bulb and they are rare below the ampulla of Vater because H. pylori growth is inhibited by bile juice. In this reason, there are only some restrictive reports presented small bowel ulcer associated H. pylori. We found multiple small bowel ulcerative lesions associated with H. pylori in an 11-year-old girl without any systemic disease while performing esophagogastroenteroscopy to the level of the proximal jejunum for differentiating bezoar. The abdominal pain improved after the patient was administered H. pylori eradication therapy. Because a small bowel ulcer associated with H. pylori has rarely been reported, we report it here with literature review.
authors.affiliation: Department of Pediatrics, Kangnam Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Kim
authors.forename: Ji Hyun
authors.initials: JH
authors.lastname: Kim
authors.forename: Saet Byul
authors.initials: SB
authors.lastname: Woo
authors.forename: Jeong Won
authors.initials: JW
authors.lastname: Lee
authors.forename: Kon Hee
authors.initials: KH
authors.lastname: Lee
authors.forename: Su Rin
authors.initials: SR
authors.lastname: Shin
authors.forename: Jee Hyun
authors.initials: JH
authors.lastname: Lee
keywords: Helicobacter pylori; Jejunum; Small bowel; Ulcer