title: [The clinical significance of evaluation of the inflammatory infiltrate in chronic gastroduodenitis in children].
abstract: OBJECTIVE
  To establish the diagnostic value of the determination of leukocyte composition of inflammatory infiltrate in chronic gastroduodenite in childhood.
  
  
  METHODS
  We examined 103 patients aged 8-17 with chronic gastroduodenitis associated with Helicobacter pylori. To detect Hp and Epstein-Barr viral infections we used esophagogastroduodenoscopy, quick urease test, bacterioscopy of gastrobiopsies. We performed the analysis of the cellular composition of the inflammatory infiltrate.
  
  
  RESULTS
  It was found that the number of lymphocytes and neutrophils located in the lamina and intraepithelial increases, which is associated with the degree of inflammation. Increased to the maximum was the number of intraepithelial lymphocytes, both in the body, and in the antrum. Intensity of leukocyte infiltration is directly correlated with the increased prevalence of inflammation. Persistence of Epstein-Barr virus (35.9% of patients) is followed by more severe intraepithelial lymphocytic infiltration in the stomach. In 4-6 months after treatment 18 patients with severe gastritis were repeatedly studied for the inflammatory infiltrate. A significant decrease in the number of intraepithelial neutrophils was found.
  
  
  CONCLUSIONS
  Cellular composition of the infiltrate is an objective characteristic of chronic inflammation in the gastric mucosa. Persistence of Epstein-Barr virus is accompanied by an increase in the amount of intraepithelial lymphocytes and neutrophils.
authors.forename: I S
authors.initials: IS
authors.lastname: Akkuratova
authors.forename: R M
authors.initials: RM
authors.lastname: Levit
authors.forename: E M
authors.initials: EM
authors.lastname: Spivak
authors.forename: A I
authors.initials: AI
authors.lastname: Khavkin
authors.forename: A S
authors.initials: AS
authors.lastname: Nadezhin
mesh_terms: D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D004382:Duodenitis / Q000276:immunology* / Q000382:microbiology / Q000473:pathology / Q000821:virology; D016145:Endoscopy, Digestive System; D020031:Epstein-Barr Virus Infections / Q000276:immunology / Q000473:pathology / Q000821:virology; D005753:Gastric Mucosa / Q000276:immunology* / Q000382:microbiology / Q000473:pathology / Q000821:virology; D005756:Gastritis / Q000276:immunology* / Q000382:microbiology / Q000473:pathology / Q000821:virology; D016481:Helicobacter Infections / Q000276:immunology / Q000382:microbiology / Q000473:pathology; D016480:Helicobacter pylori / Q000302:isolation & purification; D004854:Herpesvirus 4, Human / Q000302:isolation & purification; D006801:Humans; D020556:Neutrophil Infiltration / Q000276:immunology*