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
Health Status and Prognosis of Disease Prevalence Among Adolescents in Ukraine
The article provides an analysis of the health status of adolescents in Ukraine; the tendencies and dynamics of changes in the structure of disease prevalence among adolescents are determined using the method of prognosi...
Differentiated Approach to the Treatment of Cough
The article discusses the types of cough, the causes of this symptom, a lot of attention is paid to the treatment. It is emphasized that at present in non-severe cough WHO recommends to focus on drug-free treatment. At t...
Predicting the development of acute bacterial bronchitis in young children
Seventy four young children with acute bronchitis (34 — with viral bronchitis and 40 with bacterial bronchitis) were examined using Acute Bronchitis Severity Score, with a bacteriological study of nasopharyngeal aspirate...
Pathogenetic Reasoning of Administration of Mucolytic Agents for Respiratory Diseases in Children
The paper presents the mechanisms of cough and bronchial obstruction in lesions of the respiratory tract of various origins. The effect of microbial biofilms on the course of diseases was considered particularly. The met...
Influence Exogenous Factors on Genomic Imprinting 1. Effect of Nutrition and Provision of Micronutrients in Mother on Genomic Imprinting Descendants
The article analyzes the impact of maternal nutrition during pregnancy on the forming of genomic imprinting in the fetus. It was shown that changes in DNA methylation of imprinted genes, induced by infringement of provid...