the first choice for examination
the basis of diagnosis
2. Pathological examination of gastric mucosa
Chronic superficial gastritis(CSG) Chronic atrophic gastritis
Chronic Gastritis in Children
Introduction
Chronic gastritis is a chronic inflammation of the gastric mucosa caused by long-term or repeated harmful factors
Non-steroidal anti-inflammatory drugs NSAIDs Cortisone, etc
food allergy 4. Others
neuropsychiatric factors Stress, fatigue or overwork
chronic diseases genetic factos
3. Barium meal X-ray examination
4. Bacteriological examination for HP infection
bacterial culture
tissue section staining
Hp urease
rapid urease test
13C-urea breath test
Chronic gastritis is a common disease of the upper digestive tract in childhood
The main diagnosic method are gastroscopy and pathological examination
Hale Waihona Puke Clinical manifestations
The severity is varying. The course is varying
1. Recurrent abdominal pain：
recurrent
lack of regularity
intensity location the relationship with diet
Helicobacter Pylori(HP)
Etiology
1. Infection of Helicobacter Pylori (HP) 2. Bile reflux 3. The further development of acute gastritis Bad eating habits or improper diet Adverse reaction of medicine
Classification
1. Chronic superficial gastritis (CSG): 90-95%
2. Chronic atrophic gastritis
Etiology
1. Infection of Helicobacter Pylori (HP) 2. Bile reflux 3. The further development of acute gastritis Bad eating habits or improper diet Adverse reaction of medicine
Non-steroidal anti-inflammatory drugs NSAIDs Cortisone, etc
food allergy 4. Others
neuropsychiatric factors Stress, fatigue or overwork
chronic diseases genetic factos
urea
NH4+ + CO2
The younger the children, the less typical of abdominal pain
2. Other dyspepsia symptoms
3. Growth stunted：
4. Upper gastrointestinal bleeding：
Auxiliary examination
3. Barium meal X-ray examination
4. Bacteriological examination for HP infection
bacterial culture
tissue section staining
Hp urease
rapid urease test
13C-urea breath test
Lymphatic hyperplastic nodule in antrum of stomach caused by HP
Gastritis caused by bile reflux
Chronic antral gastritis
Auxiliary examination
1. Gastroscope：
1. Gastroscope：
the first choice for examination the basis of diagnosis
2. Pathological examination of gastric mucosa
Chronic superficial gastritis(CSG) Chronic atrophic gastritis
urea
NH4+ + CO2
examination of serum Antibody against HP
Normal gastric mucosa
Edema of gastric mucosa
Hemorrhagic gastritis
Normal gastric mucosa
Hemorrhagic gastritis with multiple intramural bleeding spots