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Objective: To evaluate the endoscopic findings in associated active chronic gastritis was the
children to help identify the diverse causes of commonest histopathological finding seen in 10
chronic abdominal pain in them and thus assist in (77%) patients, followed by chronic gastritis in 3
their management. (23%) patients. Four (14%) patients showed
Methodology: A retrospective review of 28 duodenal erosion. Stomach nodularity was seen
children referred to the pediatric gastrointestinal in four patients, three of them have H. pylori
clinic in Prince Ali Hospital in AL-Karak with chronic active gastritis; 3 (75%) on biopsy report
chronic or recurrent abdominal pain was and the other one was normal. Two patients
conducted from August 2011 to August 2012. revealed loss of normal esophageal vascularity
Complete blood count, kidney function test, liver and two other showed multiple esophageal
function test, erythrocyte sedimentation rate nodule.
(ESR), urine analysis and culture, stool analysis The last three patients (10%) were normal grossly
and abdominal ultrasound were done in all but one of them had H. pylori active chronic
patients. gastritis.
Upper gastrointestinal endoscopy was performed C onc lus ion: Pe rf o r m a n c e o f u p p e r
in all children in whom above investigations were gastrointestinal endoscopy in patients with
normal. recurrent or chronic abdominal pain is a highly
Results: Out of 28 of children, 16 were female efficient and safe procedure to identify organic
and 12 male, with a mean age of 8.5 years (range causes and assist in their management. (Rawal
3-14). The most common gross endoscopic Med J 2013;38:351-353 ).
finding was antral hyperemia that was noticed in Key words: RAP, gastritis, H. pylori.
13 (46.4%) patients. Among them, H. pylori
Mohammad Al-Nader, Nisreen Al-Hamiedeen, Abdullah Ghanma, Jamal Maaytah. (2013) Endoscopic findings in children with chronic abdominal pain: A single center experience, , Volume-38, Issue-4.
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