《儿科学教学课件》1二7、儿童慢性胃炎（下）.ppt

Chronic Gastritis in Children Introduction Chronic gastritis is a chronic inflammation of the gastric mucosa caused by long-term or repeated harmful factors Chronic gastritis is a common disease of the upper digestive tract in childhood The main diagnosic method are gastroscopy and pathological examination Classification Etiology 1. Infection of Helicobacter Pylori (HP) 2. Bile reflux 3. The further development of acute gastritis Bad eating habits or improper diet Adverse reaction of medicine Non-steroidal anti-inflammatory drugs NSAIDs Cortisone, etc food allergy 4. Others neuropsychiatric factors Stress, fatigue or overwork chronic diseases genetic factos Etiology 1. Infection of Helicobacter Pylori (HP) 2. Bile reflux 3. The further development of acute gastritis Bad eating habits or improper diet Adverse reaction of medicine Non-steroidal anti-inflammatory drugs NSAIDs Cortisone, etc food allergy 4. Others neuropsychiatric factors Stress, fatigue or overwork chronic diseases genetic factos The severity is varying. The course is varying 1. Recurrent abdominal pain： recurrent lack of regularity intensity location the relationship with diet 2. Other dyspepsia symptoms 3. Growth stunted： 4. Upper gastrointestinal bleeding： 1. Gastroscope： the first choice for examination　 the basis of diagnosis 2. Pathological examination of gastric mucosa Chronic superficial gastritis(CSG) Chronic atrophic gastritis 3. Barium meal X-ray examination 4. Bacteriological examination for HP infection bacterial culture tissue section staining Hp urease rapid urease test 13C-urea breath test urea NH4+ + CO2 examination of serum Antibody against HP 1. Gastroscope： the first choice for examination　 the basis of diagnosis 2. Pathological examination of gastric mucosa Chronic superficial gastritis(CSG) Chronic a