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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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. |
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Item Description: | 2224-0551 2307-1168 10.22141/2224-0551.5.1.73.1.2016.78948 |