Features of Diagnosis and Treatment of Esophagitis in Children with Food Alllergy
Journal Title: Здоров`я дитини - Year 2016, Vol 5, Issue 73
Abstract
We observed 40 children aged 6–18 years old with suspected esophagitis. All children were undergone endoscopic esophagogastroduodenoscopy with sampling from esophagus to verify diagnosis. The children were divided into two groups: the basic group included 20 children with gastroesophageal reflux disease diagnosed who had signs of food allergy at the moment of observation; they were prescribed to get standard antireflux therapy and eliminative or hypoallergic dietary, levocetirizinum, probiotic bacteria Lactobacillus reuteri; the control group enrolled 20 children with gastroesophageal reflux disease diagnosed who received standard antireflux therapy. The treatment course lasted for a month with further re-endoscopy with sampling from esophagus to estimate the effectiveness of the treatment. After the treatment we got unidirectional changes of clinical, endoscopic and morphological parameters in both groups; however in the basic group they were more apparent. Multiple whitish fur revealed during the first endoscopy regressed in 75 % children in the basic group and in 50 % children in the control group and 25 and 50 % children had partial regression, respectively. Thus if allergy suspected in esophagitis diagnostic strategy should be extended with necessary inclusion of allergic diagnosis.
Authors and Affiliations
S. L. Niankovsky, M. I. Gorodilovska, V. A. Ivantsiv, O. I. Boiko
Keywords
Related Articles
- EP ID EP193080
- DOI 10.22141/2224-0551.5.1.73.1.2016.78948
- Views 80
- Downloads 0
Prospective study on the significance of mucosal barrier dysfunction markers in assessing the effectiveness of the new strategy for treating food hypersensitivity in children
Background. Further search for the ways to correct the key links of food hypersensitivity (FH) skin symptoms remains perspective. Aim of the study was to evaluate pathogenetically grounded therapy of the skin FH symptoms...
Chronic Mucocutaneous Candidiasis as Primary Immunodeficiency in Children
Chronic mucocutaneous candidiasis is a genetically heterogeneous group of disorders associated with mutations in genes STAT1, IL17RA, IL17F, AIRE, STAT3, TYK2, IL12RB1, and IL12B. Chronic mucocutaneous candidiasis can pr...
Risk factors and possibilities of preventing gastroesophageal reflux disease in school-age children
Background. The article presents the main problems of early diagnosis of gastroesophageal reflux disease (GERD) in school-age children, which leads to late detection and initiation of treatment. The purpose of the study...
Analytical Evaluation of Scientific Communications in the Field of Schoolchildren and Adolescents Health Care
The article deals with information and analytical evaluation of studies carried out in Ukraine in the field of a scientific problem «Health care of school-aged children and adolescents» over the past five years. There we...
Overlap of Wilson’s disease and autoimmune hepatitis: a case report
The article presents review of literature and observation of the clinical case of Wilson’s disease combined with autoimmune hepatitis in an adolescent. The questions of the diagnosis of autoimmune hepatitis and Wilson’s...