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Helicobacter pylori Gastritis

Avinash K. Shetty, MD; Hernan Correa, MD; John Udall, Jr, MD, PhD; Eberhard Schmidt-Sommerfeld, MD

Arch Pediatr Adolesc Med. 1997;151(8):855-856.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 10-YEAR-OLD white boy was referred to a pediatric gastroenterologist for evaluation of recurrent epigastric pain and symptoms of gastroesophageal reflux. The results of the physical examination were unremarkable. His height and weight were both above the 95th percentile. Results of a complete blood cell count were normal. A radiographic series of the upper gastrointestinal tract was unremarkable. A 24-hour pH-probe monitoring of the lower esophagus showed gastroesophageal reflux. Endoscopic findings of the upper gastrointestinal tract revealed nodular antral gastritis (Figure 1). In addition, small duodenal ulcer and a gliding hiatal hernia were noted. Biopsy specimens from the gastric antrum were obtained (Figure 2 and Figure 3).

Diagnosis and Discussion

Helicobacter pylori Gastritis

Helicobacter pylori colonizes the gastric mucosa and is a major cause of chronic gastritis in both adults and children.^1,2 Furthermore, a causal relationship between H pylori and peptic ulcer disease is suggested by the presence of . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Pediatrics (Dr Shetty) and Pathology (Dr Correa), and Division of Gastroenterology and Nutrition (Drs Udall and Schmidt-Sommerfeld), Louisiana State University Medical Center, New Orleans.

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