Features of Diagnosis and Treatment of Esophagitis in Children with Food Alllergy

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 dis...

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Bibliographic Details
Main Authors: S.L. Niankovsky (Author), M.I. Gorodilovska (Author), V.A. Ivantsiv (Author), O.I. Boiko (Author)
Format: Book
Published: Zaslavsky O.Yu., 2016-08-01T00:00:00Z.
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Summary: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.
Item Description:2224-0551
2307-1168
10.22141/2224-0551.5.1.73.1.2016.78948