儿童胃炎(英文).pptVIP

GASTRITIS IN CHILDREN Chongqing Children’s Hospital Division of Infectious Disease and Gastroenterology Gastritis Acute Gastritis Chronic Gastritis Acute Gastritis Acute gastritis Diffination Etiology Pathogenesis Pathology Manifestations A sudden onset Typical manifestations: epigastric pain, nausea, vomiting, watery diarrhea Fever: caused by bacterial infection or its toxins Complications: dehydration, electrolyte disturbances, acid-base imbalance, UGI bleeding Diagnosis Acute simple gastritis History symptoms and signs GI endoscopy Biopsy (if necessary) A. Remove of offending agents Quit all irritants or stimulus: drugs, alcohol Management of the original diseases B. Symptomatic treatment 1)Replacement of fluid and electrolyte loss 2)Spasmolysant: Atropine, Belladonna 4)Antiemetic drugs: Domperidone 3)Special management for upper GI bleeding C. Protection of gastric mucosa and inhibition of gastric acid Mucosal protector Antacids: H2-RA, PPI Chronic gastritis The top two reasons for recurrent abdominal pain in children are chronic gastritis PUD By definition, is a histopathological entity characterized by chronic inflammation of the stomach mucosa. It may present with an array of symptoms, the most common being nonspecific recurrent abdominal pain in children. High frequency in children Classification Etiology Helicobacter pylori (HP) Bile reflux Dietary Habit Sequela of acute gastritis Drugs Psychological and genetic factors: Emotional stress Chronic Disease Other factors Helicobacter plori Clinical manifestation Recurrent abdominal pain Dyspeptic symptoms Excessive belching, acid regurgitation, hiccups, nausea, vomiting, diarrhea Growth retardation Upper GI bleeding Clinical manifestation A relatively minor manifestation of diseases The smaller the children the more atypical manifestation Auxiliary examinations Gastroscopic examination is the most reliable method for diagnosis of gastritis