title: [Features of mucosal lesions of stomach and duodenum in children with chronic gastroduodenitis with different microflora content].
abstract: OBJECTIVE
  Our aim was to reveale the features of histological mucosa with different composition of the microflora of stomach and duodenum in children with chronic gastroduodenitis.
  
  
  METHODS
  The study included 122 children with chronic gastroduodenitis from 5 to 17 years old. All patients underwent endoscopy with histology of biopsy specimens of gastric and duodenal mucosa in 94 patients and in 48 patients among them with morphometry of biological material. Identification of herpes simplex virus 1, 2 types, cytomegalovirus, human papilloma virus 16, 18 types, Helicobacterpylori was carried out using polymerase chain reaction in biopsies of gastroduodenal mucosa and gastric juice.
  
  
  RESULTS
  Children with chronic gastroduodenitis depending on the identified microorganisms were divided into groups: 1st (n = 51)--without detectable microorganisms, 2nd (n = 28)--with associations of H. pylori and viruses, 3rd (n = 15)--only with viruses, 4th (n = 28)--with H. pylori. Thus, in patients with H. pylori inflammation was noted mainly in the antral mucosa and dystrophic changes--in the duodenal mucosa. In the presence of viruses the inflammation was expressed more in the fundal stomach and duodenum. When viral-bacterial associations were observed most pronounced inflammatory-dystrophic process was localized throughout the gastroduodenal mucosa.
  
  
  CONCLUSIONS
  In children with chronic gastroduodenitis in the presence of bacterial, viral and mixed microflora in the stomach and duodenum identified characteristic histological features of the mucosa, manifested in a different localization and severity of inflammatory and dystrophic changes.
authors: N Y
authors: NY
authors: Kankova
authors: E A
authors: EA
authors: Zhukova
authors: N Y
authors: NY
authors: Shirokova
authors: T A
authors: TA
authors: Vidmanova
mesh_terms: D000293:Adolescent; D002648:Child; D002908:Chronic Disease; D003587:Cytomegalovirus / Q000302:isolation & purification; D004382:Duodenitis / Q000382:microbiology* / Q000473:pathology / Q000821:virology; D005260:Female; D005753:Gastric Mucosa / Q000382:microbiology* / Q000473:pathology / Q000821:virology*; D005756:Gastritis / Q000382:microbiology* / Q000473:pathology / Q000821:virology; D016480:Helicobacter pylori / Q000302:isolation & purification; D052162:Human papillomavirus 16 / Q000302:isolation & purification; D052161:Human papillomavirus 18 / Q000302:isolation & purification; D006801:Humans; D008297:Male