CONSTITUTIONAL FEATURES OF CHRONIC EROSIVE GASTRODUODENITIS IN CHILDREN
Goal of research is to study some features of chronic erosive gastroduodenitis in children, depending on the somatotype. Materials and methods. We studied 54 children aged 12 to 18 years (34 boys, 20 girls) with chronic erosive gastroduodenitis, depending on the somatotype, identified by determining the Pinier index according to the method of M. V. Chernorutsky. All patients underwent esophagogastroduodenoscopy with biopsy sampling followed by histopathological examination, an aerotest for Helicobacter pylori (Hp), a serological test for the detection of Ig G and M to Hp, and an objective examination of patients. Results and discussion. Conducted examinations for Hp and by histological verification of biopsy material from the wall of the stomach and duodenum taken during endoscopy of these organs and by determining the ammonia aerotest showed, firstly, the highest degree of Hp detection in children with HEHD in the acute stage (up to 94.4% all examined), secondly, it confirmed, using various methods for determining Hp, that Helicobacter - associated form of chronic erosive gastroduodenitis in asthenic children (97.3%) was detected statistically significantly more often than in hypersthenic children (90%) and normosthenics (85.7%). Conclusion. The mucous membrane of the stomach, duodenum in asthenic children, compared with normosthenics and hypersthenics, is more prone to subsidence, Hp reproduction in the upper floors of the hollow digestive organs creates conditions for the development of an erosive process on the mucosa.