Clinical and diagnostic features of chronic gastroduodenitis in children depending on the constitution type

Abstract

Aims. The study of clinical and diagnostic features of the course of chronic gastroduodenitis in children, taking into account the types of constitution (somatotypes), the impact of these features on the course of the disease and the treatment.Materials and methods. We studied 250 patients with a diagnosis of “Chronic gastroduodenitis” aged 4 to 17 years, with morphological changes in the mucous membrane of the stomach and duodenum, corresponding to the criteria for gastroduodenitis, as well as contamination with the H. pylori bacterium. An assessment was made of the age, gender composition, types of constitution according to the classifi cation of M. V. Chernorutsky (based on the Pignet index). Clinical- anamnestic and laboratory- instrumental features of the course of chronic gastroduodenitis in one or another somatotype were noted. The analysis and assessment of the infl uence of the constitutional specifi city of the patient on the course of the disease and the results of treatment was carried out.Results and conclusion. It was revealed that the presence of an asthenic type of constitution predisposes to the frequent development of chronic gastroduodenitis in children, but a milder course with the development of superfi cial gastroduodenitis, in contrast to normosthenic and hypersthenic types, prone to the development of hypertrophic and erosive gastroduodenitis. It was noted that in asthenics and normosthenics, the success of eradication anti- Helicobacter therapy is signifi cantly higher than in hypersthenics.