SYNDROME OF DYSPEPSIA IN CHILDREN OF THE TRANSBAIKAL TERRITORY
Objective. To study the causes and prevalence of symptoms of the syndrome of dyspepsia (SD) in children. Materials and Methods. The study involved 550 children of the Transbaikal Territory aged 8-15 years with SD. The study was conducted in 2 stages. First, all patients with SD were examined. Then, patients with functional dyspepsia (FD) had a complete examination. Diagnostics of FD was based on the Rome IV criteria. Upper gastrointestinal endoscopy was made in 156 children. Helicobacter pylori (HP) IgM antibodies were detected by ELISA test in the serum. Results. The organic causes of SD were found in 144 patients (26.2% cases). FD was found in 406 (73.8%) cases. SD occurred more often in girls than in boys. SD was more widespread in the age group of 12-15. There were no ethnic differences in the prevalence of HP infection. The patients with longer duration of symptoms had HP infection more often. HP infection more often occurred in patients with early bottle feeding and family gastritis or ulcer history. One of the possible causes was HP infection. Patients with family history of gastritis or ulcer had HP infection in 72.9% cases. Conclusion. In the Transbaikal Territory functional causes of SD were more widespread than organic ones. Probable causes of the FD were considered to be allergy, early bottle feeding and family gastritis / ulcer history. Antibodies to HP were found in 57% patients. The most widespread symptom in patients, infected with HP, was bothersome epigastric burning.