Journal of the Korean Pediatric Society 1989;32(2):198-205.
Published online February 28, 1989.
A Clinical Study on Peptic Ulcer in Childhood.
S L Lee, Y S Kim, E S Suh, T W Paik, C M Kang
Department of Pediatrics, Keimyung University, School of Medicine, Taegu, Korea
소아영역의 소화성 궤양에 대한 임상적 고찰
이상락, 김영수, 서은숙, 백태원, 강진무
계명대학교 의과대학 소아과학교실
Received: 17 June 1988   • Accepted: 21 September 1988
Abstract
Although many papers about peptic ulcer disease in childhood has stated that the condition is increasing in incidence during the past several years, still the condition is not frequently recognized in childhood compared with the incidence in adults. Authors carried out the clinical analysis on 35 patients with peptic ulcer under the age of 15 years who were admitted to pediatric department of Dong San Medical Center from Mar. 1977 to Jun. 1986. The following results were obtained. Among 35 patients, 26 (74.3%) were duodenal, 8 (22.9%) were gastric ulcer and 1 case (2.8%) had gastric and duodenal ulcer concomitantly. Twenty-four cases (68.6%) were above 10 years old and male to female ratio was 4:1, 62.9% of the cases were observed in spring and autumn season. The cardinal symptoms were abdominal pain, vomiting, hematemesis and melena. Abdominal pain was most frequently observed in gastric ulcer (100%), whereas melena in duodenal ulcer (53.8%): Anemia, hemoglobin level below 9 gm%, was seen in 15 cases (42.8%). Gastric endoscopy was used mostly (60%) for diagnosis. Complications were observed in 25 cases (71.4%) including bleeding (54.3%), perforation (14.3%) and obstruction (2.8%). Twenty-nine cases (82.9%) were treated medically and 6 cases (17.1 %) with surgery. No case was dead.
Key Words: Peptic ulcer, Childhood




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